Thomas E Eidson, PLLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

N9698 Issued in TX

Legal business name

THOMAS E EIDSON, PLLC

Practice address

2705 W Arkansas LN
Suite a
Arlington, TX 76016-5818

Phone

(817) 795-7200

NPI assigned

Jan 5, 2012

Organization subpart

No

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

Authorized official

Name

Thomas E Eidson, DO

Title

President

Phone

(817) 795-7200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1528338795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 W ARKANSAS LN",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165818",
            "telephone_number": "817-795-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 W ARKANSAS LN",
            "address_2": "SUITE A",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165818",
            "telephone_number": "817-795-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E EIDSON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "EIDSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-795-7200",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "N9698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.