Individual provider Active NPI

Gary Donald Thomas, RDMS, RT(R)

  • Vascular Sonography Radiologic Technologist
  • Denison, TX
National Provider Identifier
1659530905
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X
License
94242 Issued in TX
Practice address
515 W Woodard St
Suite 101
Denison, TX 75020-3190
Phone
(903) 624-1139
NPI assigned
Jun 3, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Sonography Radiologic Technologist 2471V0105X 94242 TX Primary

Addresses

Primary practice location

515 W Woodard St
Suite 101
Denison, TX 75020-3190

Mailing address

515 W Woodard St
Suite 101
Denison, TX 75020-3190
Phone (903) 624-1139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
94242TXMDVascular Sonography Radiologic Technologist

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212451200000",
    "number": "1659530905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W WOODARD ST",
            "address_2": "SUITE 101",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203190",
            "telephone_number": "903-624-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W WOODARD ST",
            "address_2": "SUITE 101",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750203190",
            "telephone_number": "903-624-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GARY",
        "middle_name": "DONALD",
        "credential": "RDMS, RT(R)",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-03",
        "last_updated": "2008-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "TX",
            "license": "94242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.