Healthcare Provider Details

I. General information

NPI: 1588250732
Provider Name (Legal Business Name): MICHELLE THOMAS MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2020
Last Update Date: 07/21/2025
Certification Date: 07/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7455 N FRESNO ST STE 202
FRESNO CA
93720-2481
US

IV. Provider business mailing address

685 W ALLUVIAL AVE STE 103
FRESNO CA
93711-5779
US

V. Phone/Fax

Practice location:
  • Phone: 559-470-8471
  • Fax: 559-235-0128
Mailing address:
  • Phone: 559-499-1233
  • Fax: 559-499-1232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MICHELLE A THOMAS
Title or Position: PHYSICIAN
Credential: MD
Phone: 559-696-7770