Dr Thomas Edward Southerland, DO is a
Family Medicine physician based in Fair Oaks Ranch, Texas. Dr Thomas Edward Southerland is licensed to practice in Texas (license number H4717) and his current practice location is 7807 Sendero Ridge Dr, Fair Oaks Ranch, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 698-6411.
NPI number for Dr Thomas Edward Southerland is 1881660819 and his current mailing address is 7807 Sendero Ridge Dr, Fair Oaks Ranch, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881660819.
Physician's Profile
| Full Name | Dr Thomas Edward Southerland |
|---|
| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 7807 Sendero Ridge Dr, Fair Oaks Ranch, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881660819
- Provider Enumeration Date: 02/28/2006
- Last Update Date: 11/04/2010
Medical Identifiers
Medical identifiers for Dr Thomas Edward Southerland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881660819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | H4717 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Edward Southerland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Thomas Edward Southerland, DO
7807 Sendero Ridge Dr,
Fair Oaks Ranch, TX 78015-4754
Ph: (210) 698-6411 | Dr Thomas Edward Southerland, DO
7807 Sendero Ridge Dr,
Fair Oaks Ranch, TX 78015-4754
Ph: (210) 698-6411 |
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