Provider Demographics
NPI:1750367876
Name:CHOW, THOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:CHOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 E MARSHALL AVE
Mailing Address - Street 2:SUITE 3004
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-5500
Mailing Address - Country:US
Mailing Address - Phone:903-238-8110
Mailing Address - Fax:903-238-8190
Practice Address - Street 1:703 E MARSHALL AVE
Practice Address - Street 2:SUITE 3004
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5500
Practice Address - Country:US
Practice Address - Phone:903-238-8110
Practice Address - Fax:903-238-8190
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9849207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX140004455OtherPALMETTO GPA-RAILROAD MED
TX144744301Medicaid
TX140004455OtherPALMETTO GPA-RAILROAD MED
TX8351M0Medicare ID - Type Unspecified