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Individual

JEROME M THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3801 N LAMAR BLVD, SUITE 300, AUSTIN, TX 78756-4080
(512) 206-4300
Mailing address
7800 SHOAL CREEK BLVD, SUITE 205N, AUSTIN, TX 78757-1098
(512) 206-4341
(512) 407-1947

Taxonomy

Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
Q7972
TX
207RC0000X
Cardiovascular Disease Physician
25MA08617900
NJ
207RC0000X
Cardiovascular Disease Physician
MD437691
PA
207RC0000X
Cardiovascular Disease Physician
Q7972
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3633612-02
TX
Enumeration date
09/13/2006
Last updated
02/01/2022
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