Individual
DR. THOMAS J PURGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 GRAYSON DR APT 517, GRAPEVINE, TX 76051-7002
(817) 919-9165
Mailing address
2300 GRAYSON DR APT 517, GRAPEVINE, TX 76051-7002
(817) 919-9165
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C167473
CA
208600000X
Surgery Physician
H3833
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104970201
—
TX
01
—
C167473
CA STATE MEDICAL LICENSE
CA
01
—
H3833
STATE MEDICAL LICENSE
TX
Enumeration date
05/25/2006
Last updated
03/07/2023
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