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Individual

DR. THOMAS FLETCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122
Mailing address
12554 RIATA VISTA CIR, AUSTIN, TX 78727-6431
(512) 795-5100
(512) 795-5122

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G5048
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135753502
CSHCN1
TX
05
135753503
TX
01
135753505
CSHCN2
TX
05
135753506
TX
01
300034063
RRMCARE
01
300127511
RRMCARE2
Enumeration date
06/09/2005
Last updated
01/12/2015
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