Bohannan, Thomas Wayne
Bohannan, Thomas Wayne is an sole proprietor health care provider with primary practice located at 756 Mary Dr , Hurst TX 76053-5619. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bohannan, Thomas Wayne can be contacted via phone (817) 282-3477.Contact Information
Primary practice address
756 Mary Dr
Hurst TX 76053-5619
Phone: (817) 282-3477
Fax: (817) 280-0614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6637 | Texas |
Profile Details
| NPI number | 1295834828 |
|---|---|
| LBN Legal business name | Bohannan, Thomas Wayne |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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