Provider Demographics
NPI:1346443900
Name:FIELDS, THOMAS MICHAEL (PA)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:MICHAEL
Last Name:FIELDS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:5625 EIGER RD STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78735-8982
Mailing Address - Country:US
Mailing Address - Phone:512-892-7076
Mailing Address - Fax:855-270-9668
Practice Address - Street 1:3101 HIGHWAY 71 E STE 101
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-5159
Practice Address - Country:US
Practice Address - Phone:512-304-0400
Practice Address - Fax:855-270-9668
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2025-01-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXPA04342363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant