Doctor Name: | JONATHAN OEN THOMAS |
NPI Number: | 1952643066 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 01075322A |
Business Practice Address: | 3551 Roger Brooke Dr San Antonio Military Medical Center San Antonio, TX - 782344504 |
Business Phone Number: | 2109166486 |
Business Fax Number: | |
Mailing Address: | 2492 Hancock Pass, Ft Sam Houston SAN ANTONIO |
State: | TX |
Postal Code: | 782342656 |
Phone Number: | 8025226063 |
Fax Number: | 8024292279 |
NPI Enumeration Date: | 03/27/2013 |
NPI Last Update Date: | 03/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 01075322A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |