Individual
DR. TIMOTHY KEVIN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2945 SOUTHWEST PKWY, WICHITA FALLS, TX 76308-4145
(940) 687-8000
(940) 687-7005
Mailing address
2945 SOUTHWEST PKWY, WICHITA FALLS, TX 76308-4145
(940) 687-8000
(940) 687-7005
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G3850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114474304
—
TX
Enumeration date
09/06/2005
Last updated
02/21/2019
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