Healthcare Provider Details

I. General information

NPI: 1285599662
Provider Name (Legal Business Name): TAMMY THOMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15400 SOUTHWEST FWY STE 310
SUGAR LAND TX
77478-3875
US

IV. Provider business mailing address

1610 S MEDIO RIVER CIR
SUGAR LAND TX
77478-5352
US

V. Phone/Fax

Practice location:
  • Phone: 832-828-0865
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number126037
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: