Individual
DR. PRINCE JOHN THOMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0865
(972) 715-5000
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
BP10030734
TX
207L00000X
Anesthesiology Physician
Primary
P4620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
334666002
—
TX
01
—
8FJ349
BCBS
TX
01
—
P01748444
RR MEDICARE
TX
Enumeration date
06/27/2008
Last updated
07/30/2020
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