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)     (12)

BROWN JOHN WILLIAM ; MD; M; W; 1938; MISSISSIPPI; DPC; PT/GP;

                                            (13)                                   (14)         (15)

      MISSISSIPPI SCHOOL OF MEDICINE, JACKSON; 1962; 87654321;

         (16A)    (16B)          (17)      (18)     (19)   (20)            (21)                 (22)             (23)

     RCPLIC; OHIO; 05/03/1969; 40+ ; AC; C0045; 1234567890; 11/30/2010; 142991111;

                                                (24)                            (25)                 (26)

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

                                             (27)                                     (28)              (29)

    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
13. Practice setting
14. School of medicine
15. Texas DPS number
16A. Method of licensure
16B. Place of reciprocal licensure or if TX exam
17. Date of licensure
18. Weekly hours in practice
19. Current license status
20. License number
21. Medicare NPI number
22. State permit expiration date
23. Medicaid TPI number
24. Mailing address
25. DEA registration number 
26. Fax number
27. Practice address
28. Telephone number
29. Medicare UPIN

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