Doctor Name: | DR. THOMAS ADDIS NOONAN |
NPI Number: | 1093929705 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | G2197 |
Business Practice Address: | 546 Indian Springs Dr. Kerrville, TX - 78028 |
Business Phone Number: | 8308955745 |
Business Fax Number: | 8308955745 |
Mailing Address: | 546 Indian Springs Dr., KERRVILLE |
State: | TX |
Postal Code: | 78028 |
Phone Number: | 8308955745 |
Fax Number: | 8308955745 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 08/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | G2197 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |