Individual
DR. LAURENCE CRAIG THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3900 W WHEATLAND RD, DALLAS, TX 75237-3468
(972) 780-7199
(972) 780-9157
Mailing address
3900 W WHEATLAND RD, DALLAS, TX 75237-3468
(972) 780-7199
(972) 780-9157
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3229TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005FB
BCBSTX -GROUP#
TX
01
—
00Y945
NSC -MEDICARE PTAN#
TX
05
—
112413304
—
TX
01
—
1316901291
RAILROAD - GROUP MEMBER NPI#
TX
01
—
1548489388
RAILROAD - GROUP NPI#
TX
01
—
197166501
MEDICAID - GROUP TPI#
TX
01
—
410012674
RAILROAD - PROVIDER ID#
TX
01
—
80503Q
BLUE CROSS & BLUE SHIELD
TX
01
—
DN6483
RAILROAD - GROUP PTAN#
TX
01
—
P00630765
RAIL ROAD -GROUP MEMBER PTAN#
TX
Enumeration date
04/17/2006
Last updated
05/06/2014
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