Purgett, Thomas J

Purgett, Thomas J is an individual health care provider with primary practice located at 2300 Grayson Dr Apt 517 , Grapevine TX 76051-7002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Purgett, Thomas J can be contacted via phone (817) 919-9165.

Contact Information

Primary practice address
2300 Grayson Dr Apt 517 Grapevine TX 76051-7002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X H3833 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X C167473 California

Profile Details

NPI number 1063468635
LBN Legal business name Purgett, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Mar 7th, 2023 - about 2 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 1063468635 NPPES
California Other C167473 CA STATE MEDICAL LICENSE
California Other H3833 CA STATE MEDICAL LICENSE
California MEDICAID 104970201 CA STATE MEDICAL LICENSE

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