Provider Demographics
NPI:1902016124
Name:PFEIL, THOMAS JARRETT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JARRETT
Last Name:PFEIL
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4920 SEAWALL BLVD
Mailing Address - Street 2:SUITE D
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77551-5991
Mailing Address - Country:US
Mailing Address - Phone:409-762-6463
Mailing Address - Fax:
Practice Address - Street 1:4920 SEAWALL BLVD
Practice Address - Street 2:SUITE D
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-5991
Practice Address - Country:US
Practice Address - Phone:409-762-6463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6659207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine