Thomas, Tudur Gwyn
Thomas, Tudur Gwyn is an individual health care provider with primary practice located at 2205 S Main St , Las Cruces NM 88005-3113. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Thomas, Tudur Gwyn can be contacted via phone (575) 652-3515.Contact Information
Primary practice address
2205 S Main St
Las Cruces NM 88005-3113
Phone: (575) 652-3515
Fax: (575) 652-3518
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 1564 | New Mexico |
Profile Details
| NPI number | 1558322693 |
|---|---|
| LBN Legal business name | Thomas, Tudur Gwyn |
| Credentials | PT, MBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 19th, 2017 - about 7 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 | 1558322693 | NPPES |
| New Mexico | MEDICAID | 000S8096 |
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