Individual
MATHEW T THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12141 RICHMOND AVE, HOUSTON, TX 77082-2408
(281) 799-9600
(281) 596-5947
Mailing address
PO BOX 200993, HOUSTON, TX 77216-0993
(281) 784-1111
(281) 784-1555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M0945
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225086606
TRICARE SOUTH
TX
05
—
179507201
—
TX
01
—
8S9231
BCBSTX PROV NO
TX
Enumeration date
05/05/2006
Last updated
07/05/2013
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