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Brady Clinton Tomlin

Sports Medicine

2100 S Mobberly Ave
Longview , Texas 75602-3564

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Brady Clinton Tomlin

Sports Medicine

2100 S Mobberly Ave
Longview , Texas 75602-3564

Write a Review Save Call

Brady Clinton Tomlin

Sports Medicine

2100 S Mobberly Ave
Longview , Texas 75602-3564

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine

Languages spoken

  • English

Location

2100 S Mobberly Ave Longview , Texas 75602-3564

First Address

  • Brady Clinton Tomlin
  • 2100 S Mobberly Ave
  • Longview, TX
  • Zip : 75602-3564
  • Phone :

Second Address

  • Brady Clinton Tomlin
  • 2100 S Mobberly Ave
  • Longview, TX
  • Zip : 75602-3564
  • Phone : (903) 233-3794

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FAQs


Where did Brady Clinton Tomlin attend graduate school?

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Where did Brady Clinton Tomlin do his residency?

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Where did Brady Clinton Tomlin do his fellowship?

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Is Brady Clinton Tomlin board certified?

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What type of doctor is Brady Clinton Tomlin

Sports Medicine

In what state does Brady Clinton Tomlin practice in?

Texas

Where is Brady Clinton Tomlin ’s practice located?

2100 S Mobberly Ave , Longview, Texas, 75602-3564

What is Brady Clinton Tomlin ’s gender?

Male

Is Brady Clinton Tomlin a sole practitioner?

No

Is Brady Clinton Tomlin accepting new patients?

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What languages does Brady Clinton Tomlin speak?

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Does Brady Clinton Tomlin accept insurance?

Yes, Brady Clinton Tomlin accepts insurance

Does Brady Clinton Tomlin offers telemedicine?

Brady Clinton Tomlin has not indicated if he offers telemedicine

What is Brady Clinton Tomlin ’s professional license number?

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What is Brady Clinton Tomlin ’s NPI number?

1144873415

Does Brady Clinton Tomlin have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 2081S0010X Sports Medicine AT7014 TX
Y 213ES0000X Sports Medicine AT7014 TX

National Provider Identifier

NPI 1144873415
Provider Name Brady Clinton Tomlin
First Address Longview, TX 75602-3564
Second Address Longview, TX 75602-3564
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 16/07/2019
Last Update Date 16/07/2019

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
2000024206 BOC CERTIFICATION NUMBER (01)
AT7014 TEXAS LICENSED ATHLETIC TRAINER (01) TX

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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