Individual
DR. PAUL B THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F4593
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103165002
—
TX
01
—
180008221
RRMC
—
01
—
751531889
TAX ID
—
01
—
82A046
BCBS
TX
Enumeration date
12/13/2005
Last updated
05/17/2011
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