Individual
MR. CHARLIE N THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
61878
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP103776
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1956996
—
LA
Enumeration date
02/23/2007
Last updated
07/13/2018
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