Provider Demographics
NPI:1083180236
Name:THOMAS, ARVEL EUGENE
Entity Type:Individual
Prefix:
First Name:ARVEL
Middle Name:EUGENE
Last Name:THOMAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11555 KARLENE CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22408-2351
Mailing Address - Country:US
Mailing Address - Phone:540-226-5795
Mailing Address - Fax:800-526-4503
Practice Address - Street 1:11555 KARLENE CT
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-2351
Practice Address - Country:US
Practice Address - Phone:540-226-5795
Practice Address - Fax:800-525-4503
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle