Mcgovern, Thomas Michael
Mcgovern, Thomas Michael is an sole proprietor health care provider with primary practice located at 935 S Baxter Ave , Tyler TX 75701-2245. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mcgovern, Thomas Michael can be contacted via phone (903) 596-7775.Contact Information
Primary practice address
935 S Baxter Ave
Tyler TX 75701-2245
Phone: (903) 596-7775
Fax: (903) 596-7778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | K7057 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | K7057 | Texas |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | K7057 | Texas |
Profile Details
| NPI number | 1780606905 |
|---|---|
| LBN Legal business name | Mcgovern, Thomas Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Apr 12th, 2021 - about 5 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 | 1780606905 | NPPES |
| Texas | MEDICAID | 039010604 | |
| Texas | Other | 0094PT |
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