Individual
FREDERICK ALLEN THURMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 S PALESTINE ST, ATHENS, TX 75751-5610
(903) 737-1315
Mailing address
4 BLUEBONNET TRL, GREENVILLE, TX 75402-8984
(903) 413-7554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L1217
TX
207R00000X
Internal Medicine Physician
L1217
TX
208M00000X
Hospitalist Physician
Primary
L1217
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141220710
—
TX
05
—
200096380A
—
OK
01
—
8U3494
BCBS
TX
Enumeration date
06/22/2005
Last updated
04/11/2023
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