Jerry Thomas Light in Bedford - Vascular Surgery
Jerry Thomas Light - NPI 1831198720
Jerry Thomas Light is a Vascular Surgery in Bedford, Texas. Jerry Thomas Light practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Jerry Thomas Light is 1831198720. The last update date is 2012-01-30.
Jerry Thomas Light's current location address is 1604 Hospital Pkwy Ste 501, Bedford, Texas. You can contact this provider via phone number 8176842700 and fax number 8176842709. The mailing address for Jerry Thomas Light is 1604 Hospital Pkwy Ste 501, Bedford, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Thomas Light |
|---|---|
| Address | 1604 Hospital Pkwy Ste 501, Bedford, Texas |
| Phone Number | 8176842700 |
| Fax Number | 8176842709 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1831198720 |
|---|---|
| Provider Enumeration Date | 2005-07-21 |
| Last Updated Date | 2012-01-30 |
Provider Mailing Address Detail
| Address | 1604 Hospital Pkwy Ste 501 |
|---|---|
| City | Bedford |
| State | Texas (TX) |
| Post Code | 760226932 |
| Phone Number | 8176842700 |
| Fax Number | 8176842709 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | K3785 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46401803 | TX | -- |
Post Comment/ Review Below
What is the Jerry Thomas Light's unique identification number?
The Jerry Thomas Light has been assigned the NPI (National Provider Identifier) Number 1831198720 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Jerry Thomas Light's facilities are geographically located?
The facilities of Jerry Thomas Light are physically situated at the following location: 1604 Hospital Pkwy Ste 501, Bedford, TX, 760226932.
What is Jerry Thomas Light's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Thomas Light is Vascular Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0129X.
On what date did Jerry Thomas Light receive its 1831198720 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Thomas Light was assigned its 1831198720 on 2005-07-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jerry Thomas Light most recently updated or revised?
The information pertaining to Jerry Thomas Light, including its address, specialty, and other relevant details, was last updated or revised on 2012-01-30.