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Individual
DR. THOMAS DANIEL BLACK
Active
Individual
DR. THOMAS DANIEL BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
N2006
TX
390200000X
Student in an Organized Health Care Education/Training Program
11013374A
IN
Other
Enumeration date
06/14/2007
Last updated
04/11/2016
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