Carroll Wayne Thornburg in El Paso - Addiction Medicine
Carroll Wayne Thornburg - NPI 1568460962
Carroll Wayne Thornburg is a Addiction Medicine in El Paso, Texas. Carroll Wayne Thornburg practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Carroll Wayne Thornburg is 1568460962. The last update date is 2015-11-23.
Carroll Wayne Thornburg's current location address is 725 S Mesa Hills Dr, El Paso, Texas. You can contact this provider via phone number 9158873414 and fax number 9155851682. The mailing address for Carroll Wayne Thornburg is 725 S Mesa Hills Dr, El Paso, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carroll Wayne Thornburg |
|---|---|
| Address | 725 S Mesa Hills Dr, El Paso, Texas |
| Phone Number | 9158873414 |
| Fax Number | 9155851682 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1568460962 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2015-11-23 |
Provider Mailing Address Detail
| Address | 725 S Mesa Hills Dr |
|---|---|
| City | El Paso |
| State | Texas (TX) |
| Post Code | 799125568 |
| Phone Number | 9158873414 |
| Fax Number | 9155851682 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | G9230 |
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Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| E0068 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carroll Wayne Thornburg by the Centers for Medicare & Medicaid Services?
The Carroll Wayne Thornburg has been assigned the NPI (National Provider Identifier) 1568460962. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Carroll Wayne Thornburg's facilities are geographically located?
The facilities of Carroll Wayne Thornburg are physically situated at the following location: 725 S Mesa Hills Dr, El Paso, TX, 799125568.
What is Carroll Wayne Thornburg's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Carroll Wayne Thornburg's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0401X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568460962 to Carroll Wayne Thornburg?
The Carroll Wayne Thornburg received its 1568460962 assignment from the Centers for Medicare & Medicaid Services on 2005-07-08.
When was the Carroll Wayne Thornburg's information last updated?
The Carroll Wayne Thornburg's information was last updated on 2015-11-23.