Healthcare Provider Details

I. General information

NPI: 1346519832
Provider Name (Legal Business Name): YVONNE S. THOMAS, DMD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2011
Last Update Date: 12/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 EMMET HUTTO BLVD
BAYTOWN TX
77521-1764
US

IV. Provider business mailing address

3700 EMMET HUTTO BLVD
BAYTOWN TX
77521-1764
US

V. Phone/Fax

Practice location:
  • Phone: 281-837-9122
  • Fax: 281-837-6009
Mailing address:
  • Phone: 281-837-9122
  • Fax: 281-837-6009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. YVONNE SANDRA THOMAS
Title or Position: OWNER
Credential: DMD
Phone: 281-837-9122