Individual
CLIFTON E THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3226 N UNIVERSITY DR, NACOGDOCHES, TX 75965-2682
(832) 289-7500
(936) 569-9271
Mailing address
PO BOX 631241, NACOGDOCHES, TX 75963-1241
(832) 289-7500
(936) 569-9271
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H8861
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033160501
—
TX
01
—
8020B0
MEDICARE ID
TX
Enumeration date
12/09/2005
Last updated
04/28/2025
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