Clayton Mark Thomas, | |
120 N Walnut St, Jefferson, TX 75657-1934 | |
(903) 665-6131 | |
Not Available |
Full Name | Clayton Mark Thomas |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 120 N Walnut St, Jefferson, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265906135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 320644 (Texas) | Primary |
Mailing Address | Practice Location Address |
---|---|
Clayton Mark Thomas, Po Box 901, Jefferson, TX 75657-0901 Ph: () - | Clayton Mark Thomas, 120 N Walnut St, Jefferson, TX 75657-1934 Ph: (903) 665-6131 |
Andrew Blake Lummus, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Jefferson, TX 75657 Phone: 903-665-6131 | |
Melissa Loretta Colbert, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 120 N Walnut St, Jefferson, TX 75657 Phone: 903-665-6131 |