MEDICARE: DR. LEONARD M. THOME M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	H7664	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982701652
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEONARD M. THOME M.D.

Provider Business Mailing Address
First Line	:	3820 HIGHWAY 365
Second Line	:	SUITE 100
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-7543
Country	:	US
Telephone Number	:	409-729-9114
Fax Number	:	409-729-9197

Provider Business Practice Location Address
First Line	:	3820 HIGHWAY 365
Second Line	:	SUITE 100
City	:	PORT ARTHUR
State	:	TX
Zip	:	77642-7543
Country	:	US
Telephone Number	:	409-729-9114
Fax Number	:	409-729-9197

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2006
Last Update Date	:	06/17/2026

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