Individual
MR. THOMAS JOSEPH KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 BANDERA HWY, SUITE 1A, KERRVILLE, TX 78028-9515
(830) 896-8001
Mailing address
PO BOX 470, HUNT, TX 78024-0470
(830) 329-6119
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D9202
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D9202
STATE LICENSE NUMBER
TX
01
—
E0008413
DPS REGISTRATION
TX
Enumeration date
07/07/2008
Last updated
03/07/2023
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