Provider Demographics
NPI:1124124110
Name:SALMON, THOMAS H (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:H
Last Name:SALMON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:THOMAS
Other - Middle Name:H
Other - Last Name:SALMON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7701 LAS COLINAS RDG STE 260
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7554
Mailing Address - Country:US
Mailing Address - Phone:214-239-2078
Mailing Address - Fax:469-372-5307
Practice Address - Street 1:7701 LAS COLINAS RDG
Practice Address - Street 2:SUITE 260
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-8081
Practice Address - Country:US
Practice Address - Phone:214-239-2078
Practice Address - Fax:469-372-5307
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ22962084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113506303Medicaid
TX8F6126Medicare PIN
TX113506303Medicaid