Provider Demographics
NPI:1942771134
Name:JAMES L THOMASON MD
Entity Type:Organization
Organization Name:JAMES L THOMASON MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMASON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-428-4300
Mailing Address - Street 1:769 LONESOME DOVE TRAIL
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054
Mailing Address - Country:US
Mailing Address - Phone:817-428-4300
Mailing Address - Fax:817-428-4302
Practice Address - Street 1:769 LONESOME DOVE TRAIL
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054
Practice Address - Country:US
Practice Address - Phone:817-428-4300
Practice Address - Fax:817-428-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty