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Individual

DR. BARRY CRANFILL THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3615 19TH ST, LUBBOCK, TX 79410
(806) 725-4288
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
J0697
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E4075
NM
05
139745722
TX
01
139745723
CSHCN
TX
01
8A8644
BCBS TX
TX
01
930110036
RAILROAD MEDICARE
TX
Enumeration date
10/03/2006
Last updated
04/08/2010
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