Provider Demographics
NPI:1881898336
Name:PAUL G THOMAS DO PC
Entity type:Organization
Organization Name:PAUL G THOMAS DO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:G
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:734-421-4026
Mailing Address - Street 1:8012 N MIDDLEBELT RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WESTLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48185-1808
Mailing Address - Country:US
Mailing Address - Phone:734-421-4026
Mailing Address - Fax:734-421-4560
Practice Address - Street 1:8012 N MIDDLEBELT RD
Practice Address - Street 2:SUITE B
Practice Address - City:WESTLAND
Practice Address - State:MI
Practice Address - Zip Code:48185-1808
Practice Address - Country:US
Practice Address - Phone:734-421-4026
Practice Address - Fax:734-421-4560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101003947207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty