Individual
DR. WILBURN EARL THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4320 S GEVERS ST, SUITE 300, SAN ANTONIO, TX 78223-2216
(210) 533-4455
(210) 533-4414
Mailing address
4320 S GEVERS ST, SUITE 300, SAN ANTONIO, TX 78223-2216
(210) 533-4455
(210) 533-4414
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1334
TX
213EP0504X
Public Medicine Podiatrist
1334
TX
213EP1101X
Primary Podiatric Medicine Podiatrist
1334
TX
213ER0200X
Radiology Podiatrist
1334
TX
213ES0000X
Sports Medicine Podiatrist
1334
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
1334
TX
213ES0131X
Foot Surgery Podiatrist
1334
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018591001
—
TX
Enumeration date
12/04/2006
Last updated
01/07/2011
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