Individual
THOMAS B VOLATILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1327 TROUP HWY, TYLER, TX 75701-4443
(903) 510-8840
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
CI-0006680
DE
207X00000X
Orthopaedic Surgery Physician
Primary
M8405
TX
207X00000X
Orthopaedic Surgery Physician
TEMPORARY
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000307901
—
DE
01
—
280888
MAMSI
—
01
—
2948060
AETNA HMO
—
01
—
42228102
CAREFIRST
—
01
—
4501628
AETNA NON HMO
—
01
—
510383254
BLUE SHIELD
DE
01
—
510383254
TRAICARE
—
01
—
75-2616977-113
TRICARE
TX
01
—
77741
PHCS
TX
01
—
8AM680
BCBS OF TEXAS
TX
01
—
A57187
MID ATLANTIC
—
01
—
G2420012
DELMARVA HEALTH PLAN
—
01
—
TIN PLUS SUFFIX 016
TRICARE
TX
01
—
TIN PLUS SUFFIX 021
TRICARE
TX
Enumeration date
09/08/2005
Last updated
10/11/2024
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