Individual
DR. DONOVAN LEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
187 ELMHURST, STE B, KYLE, TX 78640-6116
(512) 398-2143
(512) 887-4706
Mailing address
187 ELMHURST, STE B, KYLE, TX 78640-6116
(512) 398-2143
(512) 887-4706
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC6919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001885501
—
TX
01
—
605333
BCBS TX
TX
Enumeration date
07/13/2006
Last updated
06/23/2020
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