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Individual

DR. THOMAS FITZPATRICK

Active
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Individual

DR. THOMAS FITZPATRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
054715
GA
207X00000X
Orthopaedic Surgery Physician
Primary
P2987
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
302573601
TX
05
495265666A
GA
01
751976930005
TRICARE
TX
01
8DF184
BCBS
TX
01
P01073140
RAIL ROAD
TX
Enumeration date
08/08/2006
Last updated
10/13/2014
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