Provider Demographics
NPI:1447792098
Name:DARCY G. THOMAS, DO PLLC
Entity Type:Organization
Organization Name:DARCY G. THOMAS, DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:978-873-6572
Mailing Address - Street 1:142 LAKE ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-8874
Mailing Address - Country:US
Mailing Address - Phone:978-873-6572
Mailing Address - Fax:781-777-1652
Practice Address - Street 1:142 LAKE ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-8874
Practice Address - Country:US
Practice Address - Phone:978-873-6572
Practice Address - Fax:781-777-1652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA238462261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service