Individual
THOMAS W MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4102 S CLEAR CREEK RD STE 109, KILLEEN, TX 76549-5954
(254) 634-3668
(254) 634-0278
Mailing address
4102 S CLEAR CREEK RD STE 109, KILLEEN, TX 76549-5954
(254) 634-3668
(254) 634-0278
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1105
TX
213ES0131X
Foot Surgery Podiatrist
1105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104077-01
—
TX
Enumeration date
09/27/2006
Last updated
06/02/2020
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