| Organization Name: | TOMLINSON & JEZIERSKI PLLC |
| NPI Number: | 1477717064 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICAH D TOMLINSON (MEDCIAL DOCTOR) |
| Mailing Address: | 873b Eva St Montgomery |
| State: | TX US |
| Postal Code: | 773561808 |
| Phone Number: | 9365975555 |
| Fax Number: | 9365975585 |
| NPI Enumeration Date: | 07/14/2008 |
| NPI Last Update Date: | 07/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | H4748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |