Carroll Wayne Thornburg
Family Doctor - Addiction Medicine
725 S Mesa Hills Dr Suite 1, Bldg. 1
El Paso
, Texas 79912-5568
Carroll Wayne Thornburg
Family Doctor - Addiction Medicine
725 S Mesa Hills Dr Suite 1, Bldg. 1
El Paso
, Texas 79912-5568
(915) 585-1682
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Carroll Wayne Thornburg
- 725 S Mesa Hills Dr Suite 1, Bldg. 1
- El Paso, TX
- Zip : 79912-5568
- Fax : (915) 585-1682
- Phone : (915) 887-3414
Second Address
- Carroll Wayne Thornburg
- 725 S Mesa Hills Dr Suite 1, Bldg. 1
- El Paso, TX
- Zip : 79912-5568
- Fax : (915) 585-1682
- Phone : (915) 887-3414
Reviews
FAQs
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Where is Carroll Wayne Thornburg ’s practice located?
What is Carroll Wayne Thornburg ’s gender?
Is Carroll Wayne Thornburg a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | G9230 | TX |
National Provider Identifier
| NPI | 1568460962 |
|---|---|
| Provider Name | Carroll Wayne Thornburg |
| First Address | El Paso, TX 79912-5568 |
| Second Address | El Paso, TX 79912-5568 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/07/2005 |
| Last Update Date | 23/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E0068 | (05) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.