Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 246797 | NY |
N | 111NI0900X | Internist | 246797 | NY |
N | 207RN0300X | Nephrologist | P1601 | TX |
NPI | 1053594002 |
---|---|
Provider Name | Dr. Abey Kozhimannil Thomas |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2007 |
Last Update Date | 23/02/2012 |