Individual
DR. JIMMY SCOTT THOMAS
Active
Individual
DR. JIMMY SCOTT THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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