Individual
DR. THOMAS FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2026 S JACKSON ST, JACKSONVILLE, TX 75766-5822
(903) 541-4500
Mailing address
PO BOX 847522, DALLAS, TX 75284-7522
(903) 531-5000
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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