Outlaw, David Thomas
Outlaw, David Thomas is an individual health care provider with primary practice located at 224 High House Rd Ste 100, Cary NC 27513-4278. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Outlaw, David Thomas can be contacted via phone (919) 380-7531.Contact Information
Primary practice address
224 High House Rd Ste 100
Cary NC 27513-4278
Phone: (919) 380-7531
Fax: (919) 380-0686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200000289 | North Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200000289 | North Carolina |
Profile Details
| NPI number | 1013913219 |
|---|---|
| LBN Legal business name | Outlaw, David Thomas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | May 20th, 2021 - about 3 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 | 1013913219 | NPPES |
| North Carolina | MEDICAID | 89126GW |
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