Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 29944 | OK |
N | 2080P0207X | Pediatric Hematology-Oncologist | 29944 | OK |
Y | 2080P0207X | Pediatric Hematology-Oncologist | S3324 | TX |
NPI | 1255775086 |
---|---|
Provider Name | Lincy Thomas |
First Address | Dallas, TX 75390-9063 |
Second Address | Dallas, TX 75235-7701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2013 |
Last Update Date | 07/08/2020 |