Thoyakulathu, Sam G

Thoyakulathu, Sam G is an individual health care provider with primary practice located at 1211 East Sixth St Suite 300, Bonham TX 75418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thoyakulathu, Sam G can be contacted via phone (903) 640-1422.

Contact Information

Primary practice address
1211 East Sixth St Suite 300 Bonham TX 75418
Fax: (903) 640-4275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X J5496 Texas

Profile Details

NPI number 1952491771
LBN Legal business name Thoyakulathu, Sam G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 17 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 1952491771 NPPES
Texas Other 0017ER BC

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