Headstream, Thomas Lee
Headstream, Thomas Lee is an individual health care provider with primary practice located at 1665 Antilley Rd Suite 200, Abilene TX 79606-5265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Headstream, Thomas Lee can be contacted via phone (325) 793-5130.Contact Information
Primary practice address
1665 Antilley Rd Suite 200
Abilene TX 79606-5265
Phone: (325) 793-5130
Fax: (325) 793-5133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G2148 | Texas |
Profile Details
| NPI number | 1053300863 |
|---|---|
| LBN Legal business name | Headstream, Thomas Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Aug 7th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053300863 | NPPES |
| Texas | MEDICAID | 103700402 |
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