Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | J5652 | TX |
NPI | 1639125529 |
---|---|
Provider Name | Stuart N. Thomas |
First Address | Arlington, TX 76014-2907 |
Second Address | Arlington, TX 76014 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 21/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F92856 | (02) | TX |