TMD Publishing

Sample Doctor's Listing for
Directory of Texas Physicians and Surgeons

               (1A)                      (1B)                                           (2) 

     INTERNAL MEDICINE; ONCOLOGY;                          SAN ANGELO

       (3)         (4)       (5)         (6)  (7)  (8)     (9)       (10)            (11)

BROWN JOHN WILLIAM ; MD; M; W; 1938; MISSISSIPPI; DPC;

                                            (12)                                      (13)    (14)

      MISSISSIPPI SCHOOL OF MEDICINE, JACKSON; 1962; PT/GP;

         (15A)    (15B)          (16)     (17)     (18)   (19)                 (20)          (21)                 (22)

     RCPLIC; OHIO; 05/03/1969; 40+ ; AC; C0045; 1234567890; 11/30/2007; 142991111;

                                                (23)                            (24)                   (25)

     PO BOX 29249, SAN ANGELO, TX 72001; AB2223333; 915-999-2222;

                                             (26)                                    (27)                (28)

    1501 ALLEN DRIVE, SAN ANGELO, TX. 72001; 915-999-1111; K55555;

 

1A. Primary specialty
1B. Secondary specialty
2. City of practice
3. Last name
4. First name
5. Middle name, suffix
6. Type of degree
7. Sex
8. Ethnicity
9. Year of birth
10. Place of birth
11. Practice type
12. School of medicine attended
13. Year of graduation		 14. Practice setting
15A. Method of licensure
15B. Place of reciprocal licensure or if TX exam
16. Date of licensure
17. Weekly hours in practice
18. Current license status
19. License number
20. Medicare NPI number
21. State permit expiration date
22. Medicaid TPI number
23. Mailing address
24. DEA registration number 
25. Fax number
26. Practice address
27. Telephone number
28. Medicare UPIN

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