Organization
THOMAS A GINN MDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS A GINN MD (PRESIDENT)
(979) 776-5120
Entity
Organization
Contact information
Practice address
3201 UNIVERSITY DR E, SUITE 345, BRYAN, TX 77802-3475
(979) 776-5120
(979) 731-8105
Mailing address
3201 UNIVERSITY DR E, SUITE 345, BRYAN, TX 77802-3475
(979) 776-5120
(979) 731-8105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F3999
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060PY
BLUECROSSBLUESHIELD GROUP
TX
01
—
P00158864
RAILROAD MEDICARE
TX
Enumeration date
12/29/2006
Last updated
02/04/2009
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