Provider Demographics
NPI:1629034137
Name:MAYER, TOM GERALD (MD)
Entity Type:Individual
Prefix:DR
First Name:TOM
Middle Name:GERALD
Last Name:MAYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5701 MAPLE AVE
Mailing Address - Street 2:STE. 100
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75235-6519
Mailing Address - Country:US
Mailing Address - Phone:214-351-6600
Mailing Address - Fax:214-351-5046
Practice Address - Street 1:5701 MAPLE AVE
Practice Address - Street 2:STE. 100
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-6519
Practice Address - Country:US
Practice Address - Phone:214-351-6600
Practice Address - Fax:214-351-5046
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG1105207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery