Individual
THOMAS KEVIN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6201 SOUTH FWY # Q142, FORT WORTH, TX 76134-2001
(817) 551-3098
Mailing address
2579 HALL JOHNSON ROAD, # 313, GRAPEVINE, TX 76051
(903) 504-8528
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
P5433
TX
2083X0100X
Occupational Medicine Physician
P5433
TX
Other
Enumeration date
09/11/2006
Last updated
02/13/2020
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