MEDICARE: DR. VICTORIA VAUGHN THOMAS DNP, APRN, FNP-BC

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	363L00000X	Nurse Practitioner	776573	TX
2	363L00000X	Nurse Practitioner	AP127595	TX

General Provider Information

NPI Number	:	1124412770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VICTORIA VAUGHN THOMAS DNP, APRN, FNP-BC

Provider Business Mailing Address
First Line	:	5323 HARRY HINES BLVD STOP 7200
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-7200
Country	:	US
Telephone Number	:	214-692-3150
Fax Number	:

Provider Business Practice Location Address
First Line	:	8611 HILLCREST AVE FL 3
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-4203
Country	:	US
Telephone Number	:	214-692-3150
Fax Number	:

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

Provider Enumeration Date	:	03/21/2015
Last Update Date	:	12/29/2025

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