Thomas M Lunsford, MD, Facs, PC

Organization Active NPI Otolaryngology Physician · Lake Jackson, TX

NPI 1366775637 · NPPES record last updated Jul 31, 2017

Key facts

NPI
1366775637
Entity type
Organization (NPI type 2)
Primary specialty
Otolaryngology Physician 207Y00000X
License
D7160 (TX)
Legal business name
THOMAS M LUNSFORD, MD, FACS, PC
Practice address
215 Oak Dr S Ste F
Lake Jackson, TX 77566-5617
Phone
(979) 299-1520
Fax
(979) 299-1421
NPI assigned
Sep 17, 2009
Organization subpart
No

Authorized official

Name
Thomas Mason Lunsford, MD
Title
Owner
Phone
(979) 299-1520

National Provider Directory

Locations

215 Oak Dr S
Ste F
Lake Jackson, TX 77566
Phone (979) 299-1520

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Y00000X D7160 TX Yes

Addresses

Primary practice location

215 Oak Dr S Ste F
Lake Jackson, TX 77566-5617

Mailing address

215 Oak Dr S Ste F
Lake Jackson, TX 77566-5617
Phone (979) 299-1520

Other identifiers

IdentifierTypeStateIssuer
035823601MedicaidTX

Other providers in Lake Jackson, TX

All providers in Lake Jackson, TX · Otolaryngology Physician in Texas

Sources for this page

Verify at the official NPI Registry.