Individual
PATRICK B THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-7538
Mailing address
7914 W DODGE RD # 243, OMAHA, NE 68114-3423
(817) 991-6486
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
N1918
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
188108801
—
TX
Enumeration date
05/30/2007
Last updated
10/05/2021
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