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General NPI Number Information
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NPI Number | 1154574002
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Entity Type | Individual
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Provider Name | PATRICIA JOHNSON THOMAS M,A,. CCC
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Gender | Female
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 505 N SAM HOUSTON PKWY E S250
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City | HOUSTON
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State | TX
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Zip | 77060-4059
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Country | US
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Telephone | 713-828-2804
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Fax | 281-444-3984
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Provider Business Mailing Address
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Address Line | 15315 DAWN MEADOWS DR
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City | HOUSTON
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State | TX
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Zip | 77068-3817
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Country | US
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Telephone | 713-828-2804
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Fax | 281-444-3984
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 10619
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License Number State | TX
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