Individual
MR. SAM THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2540 N GALLOWAY AVE, SUITE 201, MESQUITE, TX 75150-6306
(214) 231-1300
Mailing address
2540 N GALLOWAY AVE, SUITE 201, MESQUITE, TX 75150-6306
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
21171
—
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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