| Maxine J. Thomas Md Pa | |
|
4725 Wellington Street Greenville TX 75401 | |
| (903) 450-9120 | |
| (903) 450-9706 |
| Full Name | Maxine J. Thomas Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4725 Wellington Street, Greenville, Texas |
| Authorized Official Name and Position | Maxine I Thomas (OWNER) |
| Authorized Official Contact | 9034509120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxine J. Thomas Md Pa P.o. Box 8645 Greenville Greenville TX 75401 Ph: (903) 450-9120 | Maxine J. Thomas Md Pa 4725 Wellington Street Greenville TX 75401 Ph: (903) 450-9120 |
| NPI Number | 1437462488 |
|---|---|
| Provider Enumeration Date | 07/20/2010 |
| Last Update Date | 07/20/2010 |
| Medicare PECOS PAC ID | 9335336304 |
|---|---|
| Medicare Enrollment ID | O20101203000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437462488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Maxine J Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619986338 PECOS PAC ID: 5294929196 Enrollment ID: I20101104001150 |
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