Provider Demographics
NPI:1508864182
Name:ALOST, THOMAS E (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:E
Last Name:ALOST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4646 N MESA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3584
Mailing Address - Country:US
Mailing Address - Phone:915-313-6300
Mailing Address - Fax:915-532-3069
Practice Address - Street 1:4646 N MESA ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-3577
Practice Address - Country:US
Practice Address - Phone:915-313-6300
Practice Address - Fax:915-532-3069
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2017-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5520207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089672203Medicaid
TX089672203Medicaid
TX306106YPUVMedicare PIN