Trussell Thane (NPI# 1609838101, PAC ID# 0244374759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1609838101 |
| PAC ID by PECOS | 0244374759 |
| Professional Enrollment ID | I20100222000833 |
| Full Name | Trussell Thane |
| Address |
1501 Columbia St Stamford TX 79553-6832 |
| Phone Number | 3257732083 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1992 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1501 Columbia St, Stamford, TX 79553-6832 | 3257732083 |
| Street Address |
1501 COLUMBIA ST |
| City | STAMFORD |
| State | TX |
| Zip | 79553-6832 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lacy Ann Viertel | Physical Therapy | 1601 Columbia St, Stamford, TX 79553-6863 | |
| Jennie E Rhymes | Nurse Practitioner | Jones County Regional Healthcare System | 1601 Columbia St, Stamford, TX 79553-6863 |
| Douglas L Kruckner | Family Practice | Jones County Regional Healthcare System | 1601 Columbia St, Stamford, TX 79553-6863 |
| Jamie L Benham | Nurse Practitioner | Jones County Regional Healthcare System | 1303 Mabee St, Stamford, TX 79553-7813 |
| City | STAMFORD |
| Zip Code | 79553 |
| Specialty | OPTOMETRY |
| City + Specialty | STAMFORD + OPTOMETRY |
Please comment or provide details below to improve the information on Trussell Thane.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.