Provider Demographics
NPI:1841482221
Name:THOMAS NEUMANN, M.D., P.A.
Entity type:Organization
Organization Name:THOMAS NEUMANN, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-796-1122
Mailing Address - Street 1:4302 22ND PL
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1140
Mailing Address - Country:US
Mailing Address - Phone:806-796-1122
Mailing Address - Fax:806-796-1401
Practice Address - Street 1:4101 22ND PL
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1121
Practice Address - Country:US
Practice Address - Phone:806-796-1122
Practice Address - Fax:806-796-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2009-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF69952085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMDN0800OtherRAILROAD MEDICARE
TX0036RVOtherBCBS TX
TXDP0483OtherRAILROAD MEDICARE
NM00024985Medicaid
TX1986333Medicaid
NMNM007F89OtherBCBS-NM GROUP
TXDP0483OtherRAILROAD MEDICARE
NM100521061Medicare PIN