Provider Demographics
NPI:1366680860
Name:THOMAS, CAROLYN LEY (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:LEY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-2987
Practice Address - Street 1:8160 WALNUT HILL LN
Practice Address - Street 2:SUITE 113
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4339
Practice Address - Country:US
Practice Address - Phone:214-345-7374
Practice Address - Fax:214-345-7375
Is Sole Proprietor?:No
Enumeration Date:2009-01-22
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN75922086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX306587204Medicaid
TX306587205Medicaid
TX462500YM09Medicare PIN
TX306587205Medicaid
TXTXB163141Medicare PIN
TXTXB163142Medicare PIN
TXTXB163145Medicare PIN