Individual
KYLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-1201
(254) 724-2111
Mailing address
PO BOX 844658 MS -01-W256, DEPT OF RADIOLOGY, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
U7068
TX
208600000X
Surgery Physician
BP10066636
TX
Other
Enumeration date
04/16/2019
Last updated
08/16/2024
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