Danny R. Thomas, M.D., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

F4595 Issued in TX

Legal business name

DANNY R. THOMAS, M.D., P.A.

Practice address

6100 Southwest Blvd
Suite 100
Benbrook, TX 76109-3930

Phone

(817) 989-1595

Fax

(817) 989-1175

NPI assigned

Dec 5, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Pam Wagner

Title

Office Manager

Phone

(817) 989-1595

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danny Ray Thomas, MD

  • Dermatology Physician
  • Benbrook, TX
  • NPI 1174687651
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1295003382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 SOUTHWEST BLVD",
            "address_2": "SUITE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093930",
            "telephone_number": "817-989-1595",
            "fax_number": "817-989-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 SOUTHWEST BLVD",
            "address_2": "SUITE 100",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761093930",
            "telephone_number": "817-989-1595",
            "fax_number": "817-989-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY R. THOMAS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-989-1595",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "F4595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.