Individual
JOHN HENRY THOMAS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5201 HARRY HINES BLVD, DEPT. OF ANESTHESIOLOGY, DALLAS, TX 75235-7708
(214) 590-8329
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
702571
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200354301
—
TX
01
—
89901U
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/12/2009
Last updated
04/28/2009
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