Healthcare Provider Details

I. General information

NPI: 1376413013
Provider Name (Legal Business Name): CANDY THOMAS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4544 SPRING STUEBNER RD
SPRING TX
77389-1118
US

IV. Provider business mailing address

4544 SPRING STUEBNER RD
SPRING TX
77389-1118
US

V. Phone/Fax

Practice location:
  • Phone: 832-924-6093
  • Fax: 831-202-3046
Mailing address:
  • Phone: 832-924-6093
  • Fax: 831-202-3046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1206240
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: