Provider Demographics
NPI:1992815120
Name:THOMAS A. NEUMANN, M.D. A MEDICAL CORPORATION
Entity type:Organization
Organization Name:THOMAS A. NEUMANN, M.D. A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:NEUMANN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:318-574-3575
Mailing Address - Street 1:P.O. BOX 1859
Mailing Address - Street 2:
Mailing Address - City:TALLULAH
Mailing Address - State:LA
Mailing Address - Zip Code:71282-4535
Mailing Address - Country:US
Mailing Address - Phone:318-574-5080
Mailing Address - Fax:318-574-5052
Practice Address - Street 1:808 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:TALLULAH
Practice Address - State:LA
Practice Address - Zip Code:71282-4535
Practice Address - Country:US
Practice Address - Phone:318-574-5080
Practice Address - Fax:318-574-5052
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1446513Medicaid
LA1446513Medicaid
LA193853Medicare Oscar/Certification