Thurmond, John Ira
Thurmond, John Ira is an individual health care provider with primary practice located at 1011 Matlock Rd , Mansfield TX 76063-3443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thurmond, John Ira can be contacted via phone (817) 225-6888.Contact Information
Primary practice address
1011 Matlock Rd
Mansfield TX 76063-3443
Phone: (817) 225-6888
Fax: (817) 377-6570
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | L1218 | Texas |
Profile Details
| NPI number | 1033151014 |
|---|---|
| LBN Legal business name | Thurmond, John Ira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Nov 15th, 2023 - 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 | 1033151014 | NPPES |
| Texas | Other | 8AD153 | BLUE CROSS |
| Texas | MEDICAID | 037428203 | BLUE CROSS |
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