Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | G4773 | TX |
NPI | 1003878836 |
---|---|
Provider Name | Thomas Adams |
First Address | Dallas, TX 75284-0853 |
Second Address | Dallas, TX 75240-6524 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 08/02/2022 |