Individual
DANE STEPHEN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
4370 MEDICAL ARTS DR STE 100, FLOWER MOUND, TX 75028-1713
(972) 537-4100
(972) 537-1404
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-0819
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08299
TX
363AM0700X
Medical Physician Assistant
PA 9105622
FL
363AM0700X
Medical Physician Assistant
PA08299
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328636103
—
TX
Enumeration date
10/15/2010
Last updated
11/16/2022
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