Thomas E Diver in Fort Worth - Physician Assistant
Thomas E Diver - NPI 1215057278
Thomas E Diver is a Physician Assistant in Fort Worth, Texas. Thomas E Diver practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Thomas E Diver is 1215057278. The last update date is 2010-06-25.
Thomas E Diver's current location address is Po Box 99335, Fort Worth, Texas. You can contact this provider via phone number 8177352228. The mailing address for Thomas E Diver is Po Box 99335, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Thomas E Diver |
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Address | Po Box 99335, Fort Worth, Texas |
Phone Number | 8177352228 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1215057278 |
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Provider Enumeration Date | 2007-03-30 |
Last Updated Date | 2010-06-25 |
Provider Mailing Address Detail
Address | Po Box 99335 |
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City | Fort Worth |
State | Texas (TX) |
Post Code | 761990335 |
Phone Number | 8177352228 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | PA01931 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
197025301 | TX | -- | |
8Y8828 | TX | BCBS | |
P00824014 | TX | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Thomas E Diver by the Centers for Medicare & Medicaid Services?
The Thomas E Diver has been assigned the NPI (National Provider Identifier) 1215057278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Thomas E Diver?
The Thomas E Diver is physically situated at Po Box 99335, in the city of Fort Worth, state of TX, with the postal code 761990335.
What is Thomas E Diver's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas E Diver's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1215057278 to Thomas E Diver?
The Thomas E Diver received its 1215057278 assignment from the Centers for Medicare & Medicaid Services on 2007-03-30.
When was the information pertaining to Thomas E Diver most recently updated or revised?
The details related to Thomas E Diver, including its address, specialty, and other relevant information, were last updated or revised on 2010-06-25.
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