Dehaven, Thomas J.

Dehaven, Thomas J. is an individual health care provider with primary practice located at 1424 East Front , Tyler TX 75702-8501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Dehaven, Thomas J. can be contacted via phone (903) 595-4144.

Contact Information

Primary practice address
1424 East Front Tyler TX 75702-8501
Phone: (903) 595-4144
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X H0289 Texas

Profile Details

NPI number 1477550184
LBN Legal business name Dehaven, Thomas J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Dec 3rd, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477550184 NPPES
Texas Other 704849 MEDICARE
Texas Other P02098855 MEDICARE
Texas Other 1299542 MEDICARE
Texas Other 4471007 MEDICARE
Texas Other 733072 MEDICARE
Texas Other 89V970 MEDICARE
Texas MEDICAID 129097506 MEDICARE
Texas MEDICAID 129097501 MEDICARE
Texas Other 2929696 MEDICARE

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