Provider Demographics
NPI:1083034532
Name:HELMS, THOMAS BARRETT JR (ARRT-R)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:BARRETT
Last Name:HELMS
Suffix:JR
Gender:M
Credentials:ARRT-R
Other - Prefix:MR
Other - First Name:THOMAS
Other - Middle Name:B
Other - Last Name:HELMS
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:RADIOLGRAPHER
Mailing Address - Street 1:10365 HOLDER WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92124-2512
Mailing Address - Country:US
Mailing Address - Phone:619-504-3610
Mailing Address - Fax:
Practice Address - Street 1:10365 HOLDER WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92124-2512
Practice Address - Country:US
Practice Address - Phone:619-504-3610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARHF82656247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARHF82656OtherRADIOGRAPHER
CA357681OtherARRT-R