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Individual

DR. ANTONY BIJOY THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
215 OAK DR S STE I, LAKE JACKSON, TX 77566-5618
(979) 297-5400
(979) 297-5552
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
K2298
TX
208D00000X
General Practice Physician
Primary
K2298
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1S3090901
TX
Enumeration date
10/06/2006
Last updated
08/22/2023
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