Provider Demographics
NPI:1497739882
Name:THOMAS, AMY L (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2829 BABCOCK RD
Mailing Address - Street 2:STE 236C
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-6010
Mailing Address - Country:US
Mailing Address - Phone:210-298-9901
Mailing Address - Fax:210-298-9909
Practice Address - Street 1:2829 BABCOCK RD
Practice Address - Street 2:TOWER 1, SUITE 236C
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-6010
Practice Address - Country:US
Practice Address - Phone:210-298-9901
Practice Address - Fax:210-298-9909
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2014-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXM2155207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1082271OtherAETNA
TX1774234-02OtherCSHCN MEDICAID
TX1052689OtherBLUELINK ACCESS
TX5680852OtherFIRST HEALTH
TX742806531XOtherHUMANA
TX8J8365OtherBLUECROSSBLUESHIELD OF TX
TX1774234-01Medicaid
TX5024132OtherCIGNA
TX9416680OtherPRIVATE HEALTHCARE SYST
TX1082271OtherAETNA
TX8G1813Medicare ID - Type Unspecified