MEDICARE: ELESHIA THOMAS

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
1	246RP1900X	Phlebotomy Technician		TX

General Provider Information

NPI Number	:	1366276867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELESHIA THOMAS

Provider Business Mailing Address
First Line	:	4201 CYPRESS CREEK PKWY STE 406
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3470
Country	:	US
Telephone Number	:	281-919-2188
Fax Number	:	281-214-6846

Provider Business Practice Location Address
First Line	:	4201 CYPRESS CREEK PKWY STE 406
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3470
Country	:	US
Telephone Number	:	281-919-2188
Fax Number	:	281-214-6846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	08/27/2024

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Directions to “ ELESHIA THOMAS ” Practice Location

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