Mcgovern, Thomas Michael

Mcgovern, Thomas Michael is an sole proprietor health care provider with primary practice located at 935 S Baxter Ave , Tyler TX 75701-2245. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mcgovern, Thomas Michael can be contacted via phone (903) 596-7775.

Contact Information

Primary practice address
935 S Baxter Ave Tyler TX 75701-2245
Phone: (903) 596-7775
Fax: (903) 596-7778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X K7057 Texas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X K7057 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X K7057 Texas

Profile Details

NPI number 1780606905
LBN Legal business name Mcgovern, Thomas Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Apr 12th, 2021 - about 4 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 1780606905 NPPES
Texas MEDICAID 039010604
Texas Other 0094PT

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