Provider Demographics
NPI:1891085924
Name:THOMAS, PATRICK GORDON (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:GORDON
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 910332
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92191-0332
Mailing Address - Country:US
Mailing Address - Phone:505-819-3495
Mailing Address - Fax:888-374-0468
Practice Address - Street 1:751 MEDICAL CENTER CT
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-6617
Practice Address - Country:US
Practice Address - Phone:619-502-5285
Practice Address - Fax:619-502-5833
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA70780207P00000X
CAA135782207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine