Provider Demographics
NPI:1699393710
Name:THOMAS MCCROREY, MD, PLLC
Entity Type:Organization
Organization Name:THOMAS MCCROREY, MD, PLLC
Other - Org Name:RENO VEIN CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER, MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCROREY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-624-4222
Mailing Address - Street 1:2385 RIDGE FIELD TRL
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-6804
Mailing Address - Country:US
Mailing Address - Phone:775-624-4222
Mailing Address - Fax:
Practice Address - Street 1:10685 PROFESSIONAL CIR STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-5843
Practice Address - Country:US
Practice Address - Phone:775-329-3100
Practice Address - Fax:775-329-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty