Individual
THOMAS BALLOU PEARSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5801 BREMO ROAD, RICHMOND, VA 23226-1907
(804) 285-0620
(804) 285-0726
Mailing address
4299 SAN FELIPE, SUITE 300, HOUSTON, TX 77027-2916
(832) 476-3900
(832) 476-3990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237889
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010206979
—
VA
01
—
P00265942
RAILROAD MEDICARE
—
Enumeration date
07/10/2006
Last updated
06/08/2010
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