Individual
DR. JOHN L. THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2938 S CREEKWOOD DR, GRAPEVINE, TX 76051-5665
(817) 372-2068
Mailing address
2938 S CREEKWOOD DR, GRAPEVINE, TX 76051-5665
(817) 372-2068
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M6421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188139302
—
TX
05
—
188139303
—
TX
05
—
188139304
—
TX
01
—
8CD641
BCBS
TX
01
—
P00957376
RAILROAD MEDICARE
TX
Enumeration date
03/09/2007
Last updated
10/11/2012
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