Provider Demographics
NPI:1386761187
Name:THOMAS E INMAN DO PROFESSIONAL
Entity type:Organization
Organization Name:THOMAS E INMAN DO PROFESSIONAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:INMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:DO
Authorized Official - Phone:623-694-9443
Mailing Address - Street 1:PO BOX 8569
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-0126
Mailing Address - Country:US
Mailing Address - Phone:623-694-9443
Mailing Address - Fax:
Practice Address - Street 1:16928 W BELL RD
Practice Address - Street 2:SUITE 701
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-8948
Practice Address - Country:US
Practice Address - Phone:623-694-9443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty