Individual
DR. EDWARD MADOC THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4630 50TH ST, SUITE 412, LUBBOCK, TX 79414-3521
(806) 794-3232
Mailing address
4630 50TH ST, SUITE 412, LUBBOCK, TX 79414-3521
(806) 794-3232
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1916
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8122BH
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/29/2007
Last updated
07/08/2007
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