Provider Demographics
NPI:1851885123
Name:LYNCH, THOMAS BRIAN (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:BRIAN
Last Name:LYNCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3551 ROGER BROOK DR.
Mailing Address - Street 2:SAMMC-MCHE-ZSO, ORTHOPAEDIC RESIDENCY
Mailing Address - City:JBSA-FORT SAM HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:78234
Mailing Address - Country:US
Mailing Address - Phone:210-916-1284
Mailing Address - Fax:
Practice Address - Street 1:3551 ROGER BROOKE DR.
Practice Address - Street 2:SAN ANTONIO MILITARY CENTER, MCHE-ZSO, ORTHOPAEDIC RESI
Practice Address - City:JBSA-FORT SAM HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:78234
Practice Address - Country:US
Practice Address - Phone:210-916-1284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2021-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101268018171000000X, 207X00000X, 208D00000X
171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No171000000XOther Service ProvidersMilitary Health Care Provider
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery