Provider Demographics
NPI:1508890617
Name:ARMSTRONG, THOMAS WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:WILLIAM
Last Name:ARMSTRONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 CHATEAU DR SW
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-6436
Mailing Address - Country:US
Mailing Address - Phone:256-880-6542
Mailing Address - Fax:256-880-6543
Practice Address - Street 1:250 CHATEAU DR SW
Practice Address - Street 2:SUITE 160
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-6436
Practice Address - Country:US
Practice Address - Phone:256-880-6542
Practice Address - Fax:256-880-6543
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00006017207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051555831Medicaid
AL4003490OtherAETNA
AL51528072OtherBCBS OF AL
AL051555831Medicaid
AL051555831Medicare ID - Type Unspecified