Individual
DR. ANDRE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4002 LOOP 256, SUITE G, PALESTINE, TX 75801
(903) 723-2427
(903) 723-2407
Mailing address
514 S BONHAM ST, MEXIA, TX 76667-3600
(254) 562-5961
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
N4794
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
ME102695
FL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
N4797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8L18468
MEDICARE PROVIDER NUMBER
TX
Enumeration date
05/19/2008
Last updated
04/02/2012
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