MR. THOMAS GREGORY LILLY, CERTIFICATION - NPI NUMBER 1639450042

Summary

Provider Name: MR. THOMAS GREGORY LILLY, CERTIFICATION

NPI Number: 1639450042

Clasification: Respiratory Therapist, Certified (227800000X)

Address:
5942 VALLEY BR
SAN ANTONIO, TX
ZIP 78250

Phone Number: (210) 647-7915



Detailed Information

MR. Thomas Gregory Lilly, CERTIFICATION is a certified respiratory therapist in San Antonio, TX. The provider is a Certified Respiratory Therapist (CRT) is a an entry level therapist who has passed a standardized written examination administered by the National Board for Respiratory Care (NBRC). CRTs provide diagnostic testing, therapeutics, monitoring, rehabilitation, and education to patients with disorders of the cardiopulmonary system. They provide these respiratory care services in all health care facilities and in the home. A CRT is a graduate of an associate degree program approved by the Commission on Accreditation of Allied Health Educational Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of the license. The assigned NPI number for this provider is 1639450042 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

5942 VALLEY BR
SAN ANTONIO, TX
ZIP 78250-951
Phone: (210) 647-7915

The enumeration date for this NPI number is 8/30/2011 and was last updated on 8/30/2011.

Map - Location of Practice





Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 227800000X Respiratory Therapist, Certified N/A TX Yes

NPI Record

No. Field Name Field Value
1 NPI 1639450042
2 Entity Type Code 1
3 Provider Last Name Legal Name LILLY
4 Provider First Name THOMAS
5 Provider Middle Name GREGORY
6 Provider Name Prefix Text MR.
7 Provider Credential Text CERTIFICATION
8 Provider First Line Business Practice Location Address 5942 VALLEY BR
9 Provider Business Practice Location Address City Name SAN ANTONIO
10 Provider Business Practice Location Address State Name TX
11 Provider Business Practice Location Address Postal Code 782503951
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 2106477915
14 Provider Enumeration Date 8/30/2011
15 Last Update Date 8/30/2011
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 227800000X
18 Provider License Number 1 N/A
19 Provider License Number State Code 1 TX
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Is Sole Proprietor Y

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This page was last updated on: 11/14/2014
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