Provider Demographics
NPI:1326005075
Name:THOMAS, PATRICK JAMES (DC)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:JAMES
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4368 S ALAMEDA ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-2412
Mailing Address - Country:US
Mailing Address - Phone:361-993-2375
Mailing Address - Fax:361-993-9095
Practice Address - Street 1:4368 S ALAMEDA ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78412-2412
Practice Address - Country:US
Practice Address - Phone:361-993-2375
Practice Address - Fax:361-993-9095
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2367111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8116256OtherBLUE LINK
TX600679OtherBLUE CROSS
TX5231123OtherAETNA
TX600679OtherBLUE CROSS
TX5231123OtherAETNA