Organization
KEATHLY AND THOMAS LLC
Active
Organization
KEATHLY AND THOMAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER THOMAS (PARTNER)
(972) 554-9300
Entity
Organization
Contact information
Practice address
920 BLUEBONNET DR, SUITE 101, IRVING, TX 75060-4548
(972) 554-9300
Mailing address
920 BLUEBONNET DR, SUITE 101, IRVING, TX 75060-4548
(972) 554-9300
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
057102
TX
3416L0300X
Land Ambulance
Primary
800066
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AMB640
BCBS
TX
Enumeration date
08/31/2006
Last updated
12/04/2008
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