Thomas, Dane Stephen

Thomas, Dane Stephen is an sole proprietor health care provider with primary practice located at 4370 Medical Arts Dr Ste 100 , Flower Mound TX 75028-1713. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Thomas, Dane Stephen can be contacted via phone (972) 537-4100.

Contact Information

Primary practice address
4370 Medical Arts Dr Ste 100 Flower Mound TX 75028-1713
Phone: (972) 537-4100
Fax: (972) 537-1404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA08299 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA 9105622 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA08299 Texas

Profile Details

NPI number 1487964110
LBN Legal business name Thomas, Dane Stephen
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 15th, 2010
Last updated Nov 16th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487964110 NPPES
Texas MEDICAID 328636103

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