Thomas M Mcgovern Md Pllc
LBN: Thomas M Mcgovern Md Pllc
Thomas M Mcgovern Md Pllc is an health care organization with primary practice located at 935 S Baxter Ave , Tyler TX 75701-2245. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Thomas M Mcgovern Md Pllc can be contacted via phone (903) 596-7775, or through Mcgovern, Thomas Michael 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:
Authorized official contact:
Name: Mcgovern, Thomas Michael Doctor of Medicine (MD)
Phone: (903) 596-7775
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | K7057 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X |
Profile Details
| NPI number | 1265886774 |
|---|---|
| LBN Legal business name | Thomas M Mcgovern Md Pllc |
| DBA Doing business as | |
| Authorized official | Mcgovern, Thomas Michael Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 21st, 2016 |
| Last updated | Apr 27th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265886774 | NPPES |
| Texas | MEDICAID | 39010603 |
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