Provider Demographics
NPI:1427078146
Name:CUTLER, THOMAS K
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:K
Last Name:CUTLER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 TEASLEY LN
Mailing Address - Street 2:#240
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-8491
Mailing Address - Country:US
Mailing Address - Phone:214-912-8027
Mailing Address - Fax:
Practice Address - Street 1:3939 TEASLEY LN
Practice Address - Street 2:#240
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-8491
Practice Address - Country:US
Practice Address - Phone:214-912-8027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX170560146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic