Individual
DR. THOMAS JOSEPH JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HOSPITAL DR, SUITE 115, CORSICANA, TX 75110
(888) 215-1999
(214) 379-1849
Mailing address
400 HOSPITAL DR, SUITE 115, CORSICANA, TX 75110
(903) 654-1171
(903) 654-1849
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
N3760
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110107
BCBSM MEDICARE ADVANTAGE
MI
01
—
0809937
SECURE HORIZON DIRECT
MI
01
—
1014313
BERRIEN HEALTH PLAN
MI
01
—
180027174
RR MEDICARE
MI
01
—
1801101071
BLUE CROSS BLUE SHIELD MI
MI
05
—
329013810
—
MI
01
—
383311970100
COMMUNITY CHOICE MICHIGAN
MI
Enumeration date
04/17/2006
Last updated
06/22/2016
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