Thomas Black, NP is a family nurse practitioner in Edgewood, NM with 9 years of experience. Thomas Black, NP NPI is 1619346376. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
104 QUAIL TRAIL
UNIT B
EDGEWOOD, NM
ZIP 87015
Phone: (505) 208-0208
Fax: (505) 717-2884
The NPI 1619346376 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/23/2015 and was last updated on 7/26/2021.