Provider Demographics
NPI:1174839435
Name:TANYA THOMS, DPM PLLC
Entity Type:Organization
Organization Name:TANYA THOMS, DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:623-584-6500
Mailing Address - Street 1:PO BOX 11163
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85318-1163
Mailing Address - Country:US
Mailing Address - Phone:623-584-6500
Mailing Address - Fax:623-584-6335
Practice Address - Street 1:13629 W CAMINO DEL SOL
Practice Address - Street 2:SUITE 150
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-1405
Practice Address - Country:US
Practice Address - Phone:623-584-6500
Practice Address - Fax:623-584-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-25
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies