Charles M Thomas, PTA
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Haskell, TX
NPI 1780198226 · NPPES record last updated Nov 20, 2017
Key facts
- NPI
- 1780198226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 2031912 (TX)
- Practice address
- 1504 N 1St St
Haskell, TX 79521-5438 - Phone
- (940) 923-5377
- NPI assigned
- Nov 20, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2031912 | TX | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2031912 | TX | Yes |
Addresses
Primary practice location
1504 N 1St St
Haskell, TX 79521-5438
Mailing address
1504 N 1St St
Haskell, TX 79521-5438
Other providers in Haskell, TX
- Shane B Schmidt PLLC
- Philip Jason Smith
- Jason Stewart
- Kristi Kay Stewart
- Kathleen Tanner
- Wal-Mart Stores Texas LLC
- Scott Daniel Woodard
- Joe Allen Yates
All providers in Haskell, TX · Physical Medicine & Rehabilitation Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.