Provider Demographics
NPI:1205836558
Name:THOMAS, DAVID E (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2355 DRUSILLA LN
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1443
Mailing Address - Country:US
Mailing Address - Phone:225-202-8026
Mailing Address - Fax:225-231-1995
Practice Address - Street 1:2355 DRUSILLA LN
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1443
Practice Address - Country:US
Practice Address - Phone:225-202-8026
Practice Address - Fax:225-231-1995
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2015-06-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA0194852080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1569046Medicaid
LA1569046Medicaid
LA5H580CY57Medicare PIN