Organization
CLIFTON E. THOMAS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFTON EDWIN THOMAS MD (OWNER/PRACTITIONER)
(936) 569-1889
Entity
Organization
Contact information
Practice address
3460 NE STALLINGS DR, NACOGDOCHES, TX 75965-8719
(936) 569-1889
Mailing address
3460 NE STALLINGS DR, NACOGDOCHES, TX 75965-8719
(936) 569-1889
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
H8861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154916401
—
TX
Enumeration date
01/18/2008
Last updated
07/02/2008
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