Organization Active NPI

Pat a. Thomas, D.O., P.a.

  • Family Medicine Physician
  • Granbury, TX
National Provider Identifier
1336457696
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E8960 Issued in TX
Legal business name
PAT A. THOMAS, D.O., P.A.
Practice address
701 Paluxy Rd
Granbury, TX 76048-2355
Phone
(817) 573-4585
Fax
(682) 498-8096
NPI assigned
Sep 21, 2010
Last updated
Sep 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Dr. Pat A. Thomas, D.O.NPI 1629163829
Title
Physician
Phone
(817) 573-4585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E8960 TX Primary

Addresses

Primary practice location

701 Paluxy Rd
Granbury, TX 76048-2355

Mailing address

701 Paluxy Rd
Granbury, TX 76048-2355
Phone (817) 573-4585

Other identifiers 1

IdentifierTypeStateIssuer
1227639-02MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1336457696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482355",
            "telephone_number": "817-573-4585",
            "fax_number": "682-498-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760482355",
            "telephone_number": "817-573-4585",
            "fax_number": "682-498-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT A. THOMAS, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PAT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "817-573-4585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E8960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1227639-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.