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NPI Code Detail

MEDICARE: CELESTINE THOMAS NP

MEDICARE:   CELESTINE  THOMAS  NP
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
1363LP0200XPediatric Nurse Practitioner1007644TX

General Provider Information

NPI Number : 1740892793
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTINE THOMAS NP
Provider Business Mailing Address
First Line : 444 EXECUTIVE CENTER BLVD STE 148
Second Line :
City : EL PASO
State : TX
Zip : 79902-1096
Country : US
Telephone Number : 915-213-1289
Fax Number :
Provider Business Practice Location Address
First Line : 414 W SUNSET RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-1756
Country : US
Telephone Number : 210-826-0311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2020
Last Update Date : 05/11/2026

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Directions to “ CELESTINE THOMAS NP” Practice Location

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