Individual
DONALD L THOMAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
021644
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1695475
—
LA
01
—
25341
CDS
LA
01
—
300065681
RAILROAD MEDICARE
—
Enumeration date
11/28/2005
Last updated
03/07/2023
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