Individual
SHIBU THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
221 W COLORADO BLVD, PAVILION 2 SUITE 929, DALLAS, TX 75208-2363
(214) 960-5681
(214) 947-2727
Mailing address
5605 N MACARTHUR BLVD STE 740, IRVING, TX 75038-2626
(214) 960-5681
(214) 947-2727
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M2840
TX
207RP1001X
Pulmonary Disease Physician
Primary
M2840
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168977001
—
TX
05
—
168977003
—
TX
05
—
168977004
—
TX
Enumeration date
03/24/2006
Last updated
06/04/2025
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