Provider Demographics
NPI:1588810907
Name:THOMAS, BILUE A (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:BILUE
Middle Name:A
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1437 VAN WINKLE DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-1211
Mailing Address - Country:US
Mailing Address - Phone:708-288-1029
Mailing Address - Fax:
Practice Address - Street 1:1437 VAN WINKLE DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-1211
Practice Address - Country:US
Practice Address - Phone:708-288-1029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1211372083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine