Provider Demographics
NPI:1699177188
Name:THOMAS, CHARLES LEONARD JR (RRT)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:LEONARD
Last Name:THOMAS
Suffix:JR
Gender:M
Credentials:RRT
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Mailing Address - Street 1:6900 NORTH PECOS ROAD
Mailing Address - Street 2:PULMONARY OUTPATIENT CLINIC
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89086-4400
Mailing Address - Country:US
Mailing Address - Phone:702-791-9090
Mailing Address - Fax:702-224-6907
Practice Address - Street 1:6900 PECOS RD
Practice Address - Street 2:PULMONARY OUTPATIENT CLINIC
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-4400
Practice Address - Country:US
Practice Address - Phone:702-791-9090
Practice Address - Fax:702-224-6907
Is Sole Proprietor?:No
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
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Provider Licenses
StateLicense IDTaxonomies
UT8296986-5701227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered