Provider Demographics
NPI:1164946414
Name:J H THOMAS JR MD PA
Entity Type:Organization
Organization Name:J H THOMAS JR MD PA
Other - Org Name:J H THOMAS JR MD PA
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:J
Authorized Official - Middle Name:H
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:832-539-4530
Mailing Address - Street 1:2300 GREEN OAK DR STE 900
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2055
Mailing Address - Country:US
Mailing Address - Phone:832-539-4530
Mailing Address - Fax:281-476-7066
Practice Address - Street 1:2300 GREEN OAK DR STE 900
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2055
Practice Address - Country:US
Practice Address - Phone:832-539-4530
Practice Address - Fax:281-476-7066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG0199207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty