Mr. Jeffory Ford Thomas
Family Doctor - Adult Medicine
5002 Cowhorn Creek Rd
Texarkana
, Texas 75503-9766
Mr. Jeffory Ford Thomas
Family Doctor - Adult Medicine
5002 Cowhorn Creek Rd
Texarkana
, Texas 75503-9766
(903) 614-3525
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About
Features
Specialties
- Family Doctor - Adult Medicine
Languages spoken
- English
Location
First Address
- Mr. Jeffory Ford Thomas
- 5002 Cowhorn Creek Rd
- Texarkana, TX
- Zip : 75503-9766
- Fax : (903) 614-3525
- Phone : (903) 614-3000
Second Address
- Mr. Jeffory Ford Thomas
- 5002 Cowhorn Creek Rd
- Texarkana, TX
- Zip : 75503-9766
- Fax : (903) 614-3525
- Phone : (903) 614-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0505X | Family Doctor - Adult Medicine | K0219 | TX |
National Provider Identifier
| NPI | 1174502991 |
|---|---|
| Provider Name | Mr. Jeffory Ford Thomas |
| First Address | Texarkana, TX 75503-9766 |
| Second Address | Texarkana, TX 75503-9766 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 21/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0051MH | BLUE CROSS BLUE SHIELD (01) | TX |
| 131978001 | (05) | AR |
| 97654 | BLUE CROSS BLUE SHIELD (01) | AR |
| G16035 | (02) |
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.