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Individual

DR. JUSTIN K THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6606 LBJ FWY, SUITE 200, DALLAS, TX 75240
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 715-5000
(972) 715-9976

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
41739
AZ
207L00000X
Anesthesiology Physician
Primary
P1936
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
316529203
TX
05
702832
AZ
01
8EY617
BCBS
TX
01
P01499365
RR
TX
Enumeration date
05/11/2009
Last updated
07/13/2018
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