Provider Demographics
NPI:1639162944
Name:THOMAS, FRANK E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:E
Last Name:THOMAS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1203A MEMORIAL BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2420
Mailing Address - Country:US
Mailing Address - Phone:615-895-4855
Mailing Address - Fax:615-895-8939
Practice Address - Street 1:1203A MEMORIAL BLVD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2420
Practice Address - Country:US
Practice Address - Phone:615-895-4855
Practice Address - Fax:615-895-8939
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD7272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4052117OtherBLUE CROSS BLUE SHIELD TN
TN3880672Medicare PIN
TN3830960Medicare PIN
TND32164Medicare UPIN
TN3880673Medicare PIN
TN4052117OtherBLUE CROSS BLUE SHIELD TN