Provider Demographics
NPI:1316159916
Name:THOMAS CURRIER MD PA
Entity type:Organization
Organization Name:THOMAS CURRIER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-665-6320
Mailing Address - Street 1:PO BOX 1740
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76241
Mailing Address - Country:US
Mailing Address - Phone:940-665-6320
Mailing Address - Fax:940-665-8159
Practice Address - Street 1:413 EAST BROADWAY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:TX
Practice Address - Zip Code:76240
Practice Address - Country:US
Practice Address - Phone:940-665-6320
Practice Address - Fax:940-665-8159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4065207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX123584802Medicaid
TX82X920OtherBLUE CROSS BLUE SHIELD
TX82X920OtherBLUE CROSS BLUE SHIELD
TX82X920Medicare ID - Type Unspecified