Doctor Name: | DR. THOMAS C. JEFFERSON |
NPI Number: | 1467442723 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C4836 |
Business Practice Address: | Brooke Army Medical Center; Mche-qd/credentials 3851 Roger Brooke Drive Fort Sam Houston, TX - 782346200 |
Business Phone Number: | 2109160707 |
Business Fax Number: | 2109161740 |
Mailing Address: | 1938 Fallow Run, SAN ANTONIO |
State: | TX |
Postal Code: | 782481802 |
Phone Number: | 2104799507 |
Fax Number: | |
NPI Enumeration Date: | 10/26/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | C4836 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |