Individual
DR. JIMMY SCOTT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
K8695
TX
208C00000X
Colon & Rectal Surgery Physician
Primary
K8695
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1606261-01
—
TX
01
—
1606261-02
CSHCN
TX
01
—
8J8270
BLUE SHIELD
TX
01
—
P00042990
RR/MEDICARE
TX
Enumeration date
04/06/2006
Last updated
07/25/2023
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