MEDICARE: BARBARA ANN THOMAS LCSW

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	171M00000X	Case Manager/Care Coordinator	01206	TX

General Provider Information

NPI Number	:	1437475670
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA ANN THOMAS LCSW

Provider Business Mailing Address
First Line	:	1703 STONE LAKE DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-2153
Country	:	US
Telephone Number	:	281-437-0540
Fax Number	:

Provider Business Practice Location Address
First Line	:	1703 STONE LAKE DR
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77489-2153
Country	:	US
Telephone Number	:	281-437-0540
Fax Number	:

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

Provider Enumeration Date	:	04/13/2010
Last Update Date	:	04/13/2010

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