Individual
DR. THOMAS E CALLAHAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2294
(817) 321-0404
Mailing address
816 W CANNON ST, FORT WORTH, TX 76104-3194
(817) 321-0404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
M7890
TX
2085R0204X
Vascular & Interventional Radiology Physician
Primary
M7890
TX
2085R0204X
Vascular & Interventional Radiology Physician
MD-21591
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107619
—
MA
01
—
462205
TUFTS
MA
01
—
AA64569
HARVARD PILGRIM HEALTHCAR
MA
01
—
J28704
BLUE CROSS BLUE SHIELD
MA
01
—
P00602905
RAILROAD MEDICARE
—
Enumeration date
06/13/2006
Last updated
04/07/2026
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