Tara Anna Thomas M.D.

NPI 1225440944 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1225440944
Gender Female
Enumeration Date 05/29/2014
Last Updated 06/10/2016
Entity Type Individual
Active Over 2 years ago
Practice Location
112 KINGSRIDGE DR
COPPELL TX, 75019-2553, US
Phone (972) 906-7224
Fax
Business Location
2150 W HARRISON ST
CHICAGO IL, 60612-3706, US
Phone (312) 942-2099
Fax
Toxanomy
Taxonomy Code 390200000X
License State Illinois
License Number 125064640
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According to our database, Ms. Tara Anna Thomas M.D. NPI is 1225440944, taxonomy code is 390200000X and license number is 125064640, license state is located at Illinois. Tara Anna Thomas M.D. physically located at 112 Kingsridge Dr, Coppell TX, 75019-2553. NPI Number Tara Anna Thomas M.D. has the Individual type.

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1225440944 NPI number is provided on an as is basis without warranty of any kind. 1225440944 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Anna Thomas M.D. are for informational purposes only.