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Individual

DR. THOMAS EDGAR HUTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO,PHARMD

Contact information

Practice address
3410 WORTH ST, DALLAS, TX 75246-2003
(214) 370-1000
(214) 370-1202
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
L5774
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163058401
TX
05
163058402
TX
05
163058403
TX
01
8R1471
BLUE CROSS OF TX
TX
Enumeration date
06/14/2006
Last updated
09/01/2011
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