Provider Demographics
NPI:1265439962
Name:BRAMHALL, THOMAS CUNNING (MD)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:CUNNING
Last Name:BRAMHALL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:324 WEST MAIN ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-3640
Mailing Address - Country:US
Mailing Address - Phone:972-420-7212
Mailing Address - Fax:972-420-8812
Practice Address - Street 1:324 WEST MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-3640
Practice Address - Country:US
Practice Address - Phone:972-420-7212
Practice Address - Fax:972-420-8812
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2008-07-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXK0645207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX89Z190Medicare PIN