# AJAY THOMAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821089178
- **Gender:** Man
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | PA04515 | TX | Yes |
| 363AS0400X | Surgical Physician Assistant | PA04515 | TX | — |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 01/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 216179601 | — | TX |
| 05 | — | 216179610 | — | TX |
| 01 | — | 216179611 | MEDICAID-CSHCN | TX |
| 01 | — | 8LZ651 | BCBS | TX |
| 01 | — | P00861336 | RAILROAD MEDICARE | TX |