Thomas, Wilburn Earl
Thomas, Wilburn Earl is an sole proprietor health care provider with primary practice located at 4320 S Gevers St Suite 300, San Antonio TX 78223-2216. He recently has 7 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Public Medicine, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Thomas, Wilburn Earl can be contacted via phone (210) 533-4455.Contact Information
Primary practice address
4320 S Gevers St Suite 300
San Antonio TX 78223-2216
Phone: (210) 533-4455
Fax: (210) 533-4414
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1334 | Texas |
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X | 1334 | Texas |
| Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine | 213EP1101X | 1334 | Texas |
| Podiatric Medicine & Surgery Service Providers / Radiology | 213ER0200X | 1334 | Texas |
| Podiatric Medicine & Surgery Service Providers / Sports Medicine | 213ES0000X | 1334 | Texas |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 1334 | Texas |
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | 1334 | Texas |
Profile Details
| NPI number | 1669530523 |
|---|---|
| LBN Legal business name | Thomas, Wilburn Earl |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jan 7th, 2011 - about 13 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 | 1669530523 | NPPES |
| Texas | MEDICAID | 018591001 |
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