Individual
CHRISTOPHER BRYAN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8585 PICARDY AVE STE 313, BATON ROUGE, LA 70809-3749
(225) 381-2755
(225) 381-2759
Mailing address
PO BOX 919237, DALLAS, TX 75391-9237
(877) 988-1890
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
203130
LA
207RP1001X
Pulmonary Disease Physician
Primary
203130
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1884669
—
LA
01
—
4144466
BLUE CROSS
TN
01
—
4M018DD21
MEDICARE
LA
01
—
7100030970
KENTUCKY MEDICAID
KY
01
—
P00821656
RAILROAD MEDICARE
LA
Enumeration date
06/14/2006
Last updated
06/04/2024
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