Organization
JACK M THOMAS MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK M THOMAS JR. MD (OWNER)
(903) 454-7555
Entity
Organization
Contact information
Practice address
4101 WESLEY ST STE B, GREENVILLE, TX 75401-5635
(903) 454-7555
(903) 450-4420
Mailing address
PO BOX 8452, GREENVILLE, TX 75404-8452
(903) 454-7555
(903) 450-4420
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E4718
TX
Other
Enumeration date
05/31/2007
Last updated
07/02/2010
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