Light, Jerry Thomas
Light, Jerry Thomas is an individual health care provider with primary practice located at 1604 Hospital Pkwy Ste 501 , Bedford TX 76022-6932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Light, Jerry Thomas can be contacted via phone (817) 684-2700.Contact Information
Primary practice address
1604 Hospital Pkwy Ste 501
Bedford TX 76022-6932
Phone: (817) 684-2700
Fax: (817) 684-2709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | K3785 | Texas |
Profile Details
| NPI number | 1831198720 |
|---|---|
| LBN Legal business name | Light, Jerry Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jan 30th, 2012 - about 12 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 | 1831198720 | NPPES |
| Texas | MEDICAID | 046401803 |
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