Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | Q7972 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | 25MA08617900 | NJ |
N | 207RC0000X | Internist - Cardiovascular Disease | MD437691 | PA |
N | 207RC0000X | Internist - Cardiovascular Disease | Q7972 | TX |
NPI | 1225133689 |
---|---|
Provider Name | Jerome M Thomas |
First Address | Austin, TX 78757-1098 |
Second Address | Austin, TX 78756-4080 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2006 |
Last Update Date | 01/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3633612-02 | (05) | TX |