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Organization

IOSOLUTIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AJAY THOMAS (PA-C)
(281) 948-5114
Entity
Organization

Contact information

Practice address
5210 FOUNTAINBROOK LN, SUGAR LAND, TX 77479-4834
(281) 948-5114
Mailing address
5210 FOUNTAINBROOK LN, SUGAR LAND, TX 77479-4834

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04515
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
216179601
TX
01
P00861336
RAILROAD MEDICARE
TX
Enumeration date
12/14/2011
Last updated
12/14/2011
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