Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | N7183 | TX |
N | 207XS0106X | Orthopaedic Hand Surgeon | N7183 | TX |
NPI | 1134300833 |
---|---|
Provider Name | Dr. Ryan B Thomas |
First Address | Corpus Christi, TX 78411-2549 |
Second Address | Corpus Christi, TX 78411-2549 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2007 |
Last Update Date | 27/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2848590-01 | (05) | TX |