Davis, Thomas Sanner
Davis, Thomas Sanner is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Davis, Thomas Sanner can be contacted via phone (254) 724-2111.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 593001 | Texas |
Profile Details
| NPI number | 1316909930 |
|---|---|
| LBN Legal business name | Davis, Thomas Sanner |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Jul 12th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316909930 | NPPES |
| Texas | Other | 84415U | BLUE SHIELD |
| Texas | Other | P00203605 | BLUE SHIELD |
| Texas | MEDICAID | 0025017-02 | BLUE SHIELD |
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