Individual
DR. THOMAS G VAN DINTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 FOREST LN, SUITE C340, DALLAS, TX 75230-2505
(972) 758-4620
Mailing address
7777 FOREST LN, SUITE C340, DALLAS, TX 75230-2584
(972) 758-4620
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
M4612
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173155-01
—
TX
05
—
2173155-02
—
TX
Enumeration date
04/20/2007
Last updated
11/30/2012
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