Tommy Jerome Doster in San Antonio - Medical

Tommy Jerome Doster - NPI 1568422749

Tommy Jerome Doster is a Medical in San Antonio, Texas. Tommy Jerome Doster practices all healthcare services and medical treatments related to Medical. The NPI Number for Tommy Jerome Doster is 1568422749. The last update date is 2007-07-08.

Tommy Jerome Doster's current location address is 7400 Merton Minter St, San Antonio, Texas. You can contact this provider via phone number 2106175300 and fax number 2106175178. The mailing address for Tommy Jerome Doster is 7400 Merton Minter St, San Antonio, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Tommy Jerome Doster
Address 7400 Merton Minter St, San Antonio, Texas
Phone Number 2106175300
Fax Number 2106175178
Sole Proprietor X
Credentials PA-C, MPAS

NPI Number Detail

NPI Number 1568422749
Provider Enumeration Date 2006-03-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7400 Merton Minter St
City San Antonio
State Texas (TX)
Post Code 782294404
Phone Number 2106175300
Fax Number 2106175178

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA02509
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Tommy Jerome Doster

What is the unique 10-digit identification code assigned to Tommy Jerome Doster by the Centers for Medicare & Medicaid Services?

The Tommy Jerome Doster has been issued the NPI (National Provider Identifier) 1568422749, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Tommy Jerome Doster?

The Tommy Jerome Doster is physically situated at 7400 Merton Minter St, in the city of San Antonio, state of TX, with the postal code 782294404.

What is the area of specialization for Tommy Jerome Doster, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Tommy Jerome Doster is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.

On what date did Tommy Jerome Doster receive its 1568422749 assignment from the Centers for Medicare & Medicaid Services?

The Tommy Jerome Doster was assigned its 1568422749 on 2006-03-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Tommy Jerome Doster most recently updated or revised?

The details related to Tommy Jerome Doster, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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