Doctor Name: | DR. FITZGERALD METCALFE THOMAS |
NPI Number: | 1700888526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | H3635 |
Business Practice Address: | 7771 State Hwy 153 Winters, TX - 79567 |
Business Phone Number: | 3257541317 |
Business Fax Number: | |
Mailing Address: | 2311 Bobwhite Dr, ODESSA |
State: | TX |
Postal Code: | 797612234 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 07/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0000X |
License Number: | H3635 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |