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General NPI Number Information
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NPI Number | 1396699716
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Entity Type | Organization
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Legal Business Name | THOMAS CARE CLINIC SPECIALTY SERVICES LLC
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 2060 E SUNSHINE ST
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City | SPRINGFIELD
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State | MO
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Zip | 65804-1815
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Country | US
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Telephone | 417-275-8900
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Fax | 417-270-8012
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Provider Business Mailing Address
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Address Line | 2060 E SUNSHINE ST
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City | SPRINGFIELD
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State | MO
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Zip | 65804-1815
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Country | US
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Telephone | 417-275-8900
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Fax | 417-270-8012
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Authorized Official
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Title or Position | MEMBER
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Name | ALICIA R THOMAS
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Credential | FNP-BC
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Telephone | 417-275-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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