Individual
DR. PHILIP JOHN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5 DOCTOR CIR, LONGVIEW, TX 75605-5050
(903) 758-6406
(903) 758-8116
Mailing address
5 DOCTOR CIR, LONGVIEW, TX 75605-5050
(903) 758-6406
(903) 758-8116
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905552301
—
TX
Enumeration date
02/22/2007
Last updated
07/08/2007
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