| Doctor Name: | MR. THOMAS IRVIN WASHINGTON |
| NPI Number: | 1790752418 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, M.B.A., ATC |
| License Number: | 1022770 |
| Business Practice Address: | 12758 Cimarron Path Suite 126 San Antonio, TX - 782493427 |
| Business Phone Number: | 2106158844 |
| Business Fax Number: | 2106156959 |
| Mailing Address: | 6503 Pemcliff, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782402555 |
| Phone Number: | 2106158844 |
| Fax Number: | 2106156959 |
| NPI Enumeration Date: | 03/01/2006 |
| NPI Last Update Date: | 05/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 171000000X |
| License Number: | 1022770 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Military Health Care Provider |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |