Organization
DANNY R. THOMAS, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM WAGNER (OFFICE MANAGER)
(817) 989-1595
Entity
Organization
Contact information
Practice address
6100 SOUTHWEST BLVD, SUITE 100, BENBROOK, TX 76109-3930
(817) 989-1595
(817) 989-1175
Mailing address
6100 SOUTHWEST BLVD, SUITE 100, BENBROOK, TX 76109-3930
(817) 989-1595
(817) 989-1175
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
F4595
TX
Other
Enumeration date
12/05/2011
Last updated
07/16/2013
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