Gross, Thomas

Gross, Thomas is an individual health care provider with primary practice located at 6701 Jefferson St Ne , Albuquerque NM 87109-4318. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Legal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Gross, Thomas can be contacted via phone (505) 727-6200.

Contact Information

Primary practice address
6701 Jefferson St Ne Albuquerque NM 87109-4318
Phone: (505) 727-6200
Fax: (505) 727-9590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X 88177 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 88-177 New Mexico

Profile Details

NPI number 1538129879
LBN Legal business name Gross, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Apr 17th, 2017 - about 8 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 1538129879 NPPES
New Mexico MEDICAID 00029074

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