| Daniele Thomas, M.d., P.a. | |
|
15910 Tranquil Park Ct Spring TX 77379-6653 | |
| (832) 717-0587 | |
| (832) 717-3164 |
| Full Name | Daniele Thomas, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 15910 Tranquil Park Ct, Spring, Texas |
| Authorized Official Name and Position | Daniele D Thomas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8327170587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniele Thomas, M.d., P.a. Po Box 12105 Spring TX 77391-2105 Ph: (832) 717-0587 | Daniele Thomas, M.d., P.a. 15910 Tranquil Park Ct Spring TX 77379-6653 Ph: (832) 717-0587 |
| NPI Number | 1437163862 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 12/14/2011 |
| Medicare PECOS PAC ID | 6507027570 |
|---|---|
| Medicare Enrollment ID | O20120418000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437163862 | NPI | - | NPPES |
| 160406802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G2123 (Texas) | Primary |
| Provider Name | Daniele Dascy Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265432900 PECOS PAC ID: 1254371578 Enrollment ID: I20060228000360 |
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