Individual
DR. MARY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2500 SARAH DE WITT DR., GONZALES, TX 78629
(512) 680-2498
Mailing address
2500 SARA DEWITT DRIVE, PO BOX 886, GONZALES, TX 78629
(512) 680-2498
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E8200
TX
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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