Individual
DR. JERRY J TOMASOVIC
Active
Individual
DR. JERRY J TOMASOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
G7730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00891N
BLUE CROSS ID #
TX
05
—
095077602
—
TX
05
—
132968207
—
TX
05
—
132968209
—
TX
01
—
742506891
TAX ID
TX
01
—
8AP903
BCBSTX THRU HILL COUNTRY
TX
01
—
P00728995
RAILROAD MEDICARE THRU HILL COUNTRY MONITORING
TX
Enumeration date
06/04/2006
Last updated
10/20/2009
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