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. |