Individual
THOMAS C REALS
Active
Individual
THOMAS C REALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21933
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060630
BCBS
KS
01
—
100005
HPK
KS
01
—
2537
PHS
KS
01
—
25560
COVENTRY
KS
Enumeration date
06/18/2006
Last updated
07/13/2007
Update your record
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