| Organization Name: | THOMAJAN FOOT CARE PA |
| NPI Number: | 1003836404 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CRAIG HOWARD THOMAJAN (PRESIDENT) |
| Mailing Address: | 5000 Bee Cave Rd Suite 202 West Lake Hills |
| State: | TX US |
| Postal Code: | 787465266 |
| Phone Number: | 5123288900 |
| Fax Number: | 5123288903 |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 02/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 1720 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |