1316277189 NPI number — THOMAS FP, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316277189 NPI number — THOMAS FP, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THOMAS FP, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THOMAS & MAIDENBERG FAMILY PRACTICE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316277189
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/19/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9090 GAYLORD DR
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77024-2947
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-461-6300
Provider Business Mailing Address Fax Number:
713-461-7020

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9090 GAYLORD DR
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77024-2947
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-461-6300
Provider Business Practice Location Address Fax Number:
713-461-7020
Provider Enumeration Date:
12/30/2009

Additional Information

Authorized Official

Authorized Official Last Name:
TRAN
Authorized Official First Name:
VAN
Authorized Official Middle Name:
Q
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-461-6300

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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