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NPI Code Detail

MEDICARE: KATRYNA KAMILLE THOMAS MD

MEDICARE: KATRYNA KAMILLE THOMAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianME156748FL
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1215565569
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRYNA KAMILLE THOMAS MD
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : JBSA FT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 210-916-9900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 12/10/2025

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Directions to “ KATRYNA KAMILLE THOMAS MD” Practice Location

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