Individual
THOMAS LOWELL PESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 MURCHISON DR STE 211, EL PASO, TX 79902-2918
(915) 533-5100
(915) 533-5101
Mailing address
1700 MURCHISON DR STE 211, EL PASO, TX 79902-2918
(915) 533-5100
(915) 533-5101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G0794
TX
2086S0129X
Vascular Surgery Physician
34729
AZ
2086S0129X
Vascular Surgery Physician
G0794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11219601
—
AZ
05
—
126301402
—
TX
Enumeration date
05/08/2006
Last updated
02/28/2012
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