Individual
DR. THOMAS M AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
322 COLEMAN ST, MARLIN, TX 76661-2358
(254) 803-3561
(254) 883-6066
Mailing address
PO BOX 60, MARLIN, TX 76661-0060
(254) 803-3561
(254) 883-6066
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D3139
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316614-02
—
TX
01
—
8W0854
BC/BS OF TEXAS
TX
Enumeration date
01/03/2006
Last updated
04/30/2008
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