MEDICARE: KAREN SUE THOMASON D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2906	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	601444	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1053390963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN SUE THOMASON D.C.

Provider Business Mailing Address
First Line	:	5020 FM 1960 RD W
Second Line	:	SUITE B6
City	:	HOUSTON
State	:	TX
Zip	:	77069-4521
Country	:	US
Telephone Number	:	281-580-1961
Fax Number	:	281-580-1968

Provider Business Practice Location Address
First Line	:	5020 FM 1960 RD W
Second Line	:	SUITE B6
City	:	HOUSTON
State	:	TX
Zip	:	77069-4521
Country	:	US
Telephone Number	:	281-580-1961
Fax Number	:	281-580-1968

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	01/15/2008

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