Provider Demographics
NPI:1770775611
Name:THOMANN, ARIEL JOSE (MD)
Entity type:Individual
Prefix:DR
First Name:ARIEL
Middle Name:JOSE
Last Name:THOMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:755 INTERNATIONAL BLVD APT 133
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-3565
Mailing Address - Country:US
Mailing Address - Phone:713-681-9366
Mailing Address - Fax:
Practice Address - Street 1:755 INTERNATIONAL BLVD APT 133
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3565
Practice Address - Country:US
Practice Address - Phone:713-681-9366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD10832083A0100X, 2083X0100X
AZ49882083X0100X
PR31992083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine