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General NPI Number Information
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NPI Number | 1922633304
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Entity Type | Individual
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Provider Name | JENNY THOMAS PA
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Gender | Female
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Dates
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Enumeration Date | 03/06/2020
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 6701 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2608
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Country | US
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Telephone | 516-286-7657
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Fax |
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Provider Business Mailing Address
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Address Line | 3935 CATANIA BAY CT
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City | MISSOURI CITY
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State | TX
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Zip | 77459-0029
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Country | US
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Telephone | 516-286-7657
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA18173
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | NY
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