Provider Demographics
NPI:1649815499
Name:THOMAS, VINIL C (DPT)
Entity type:Individual
Prefix:DR
First Name:VINIL
Middle Name:C
Last Name:THOMAS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 W WALNUT HILL LN STE 240
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2928
Mailing Address - Country:US
Mailing Address - Phone:972-400-8822
Mailing Address - Fax:
Practice Address - Street 1:1300 W WALNUT HILL LN STE 240
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2928
Practice Address - Country:US
Practice Address - Phone:972-400-8822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-14
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1302520208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation