Individual
MR. JAMIE A THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
630 W STATE HIGHWAY 71, BASTROP, TX 78602-4282
(737) 881-7400
Mailing address
630 W STATE HIGHWAY 71, BASTROP, TX 78602-4282
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012025750
MO
207P00000X
Emergency Medicine Physician
Primary
V2296
TX
207Q00000X
Family Medicine Physician
2011017869
MO
207Q00000X
Family Medicine Physician
2012025750
MO
Other
Enumeration date
06/30/2011
Last updated
08/16/2024
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