Provider Demographics
NPI:1902027675
Name:INMAN, THOMAS CARROLL JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CARROLL
Last Name:INMAN
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10497 TOWN AND COUNTRY WAY
Mailing Address - Street 2:SUITE # 914
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1117
Mailing Address - Country:US
Mailing Address - Phone:713-468-8386
Mailing Address - Fax:713-465-6758
Practice Address - Street 1:10497 TOWN AND COUNTRY WAY
Practice Address - Street 2:SUITE # 914
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1117
Practice Address - Country:US
Practice Address - Phone:713-468-8386
Practice Address - Fax:713-465-6758
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17148122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist