Individual
LIDA THOMAS
Active
Individual
LIDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
FTL 42152
TX
207L00000X
Anesthesiology Physician
Primary
FTL 42529
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192735201
—
TX
01
—
192735202
CSHCN
TX
01
—
81173Y
BCBS
TX
Enumeration date
02/28/2008
Last updated
06/01/2009
Update your record
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