Headstream, Thomas Lee

Headstream, Thomas Lee is an individual health care provider with primary practice located at 1665 Antilley Rd Suite 200, Abilene TX 79606-5265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Headstream, Thomas Lee can be contacted via phone (325) 793-5130.

Contact Information

Primary practice address
1665 Antilley Rd Suite 200 Abilene TX 79606-5265
Phone: (325) 793-5130
Fax: (325) 793-5133
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G2148 Texas

Profile Details

NPI number 1053300863
LBN Legal business name Headstream, Thomas Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Aug 7th, 2019 - about 5 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 1053300863 NPPES
Texas MEDICAID 103700402

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