MEDICARE: CARMEN THORNTON 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
1	207V00000X	Obstetrics & Gynecology Physician	H7352	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366513004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMEN THORNTON MD

Provider Business Mailing Address
First Line	:	PO BOX 230209
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77223-0209
Country	:	US
Telephone Number	:	713-660-1880
Fax Number	:	713-926-9105

Provider Business Practice Location Address
First Line	:	7037 CAPITOL ST STE N100
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77011-4643
Country	:	US
Telephone Number	:	713-660-1880
Fax Number	:	713-926-9105

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	08/07/2024

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Directions to “ CARMEN THORNTON MD” Practice Location

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