Thomas, Dane Stephen
Thomas, Dane Stephen is an sole proprietor health care provider with primary practice located at 4370 Medical Arts Dr Ste 100 , Flower Mound TX 75028-1713. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Thomas, Dane Stephen can be contacted via phone (972) 537-4100.Contact Information
Primary practice address
4370 Medical Arts Dr Ste 100
Flower Mound TX 75028-1713
Phone: (972) 537-4100
Fax: (972) 537-1404
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA08299 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 9105622 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA08299 | Texas |
Profile Details
NPI number | 1487964110 |
---|---|
LBN Legal business name | Thomas, Dane Stephen |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 15th, 2010 |
Last updated | Nov 16th, 2022 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487964110 | NPPES |
Texas | MEDICAID | 328636103 |
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