Provider Demographics
NPI:1851767529
Name:ONSTOTT, THOMAS (CRNA, DNP)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:ONSTOTT
Suffix:
Gender:M
Credentials:CRNA, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7946 N LOOP 1604 W
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-5174
Mailing Address - Country:US
Mailing Address - Phone:210-567-9100
Mailing Address - Fax:210-450-2165
Practice Address - Street 1:7946 N LOOP 1604 W
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-5174
Practice Address - Country:US
Practice Address - Phone:210-567-9100
Practice Address - Fax:210-450-2165
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-18
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144007367500000X
TN20204367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered