MEDICARE: MRS. SHERYL LYNNE MALONE-THOMAS FNP

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	363LF0000X	Family Nurse Practitioner	555032	TX

General Provider Information

NPI Number	:	1538471255
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERYL LYNNE MALONE-THOMAS FNP

Provider Business Mailing Address
First Line	:	18318 THICKET GROVE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-7596
Country	:	US
Telephone Number	:	713-545-8349
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 N STADIUM DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1823
Country	:	US
Telephone Number	:	832-393-4929
Fax Number	:	832-393-5255

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

Provider Enumeration Date	:	07/10/2010
Last Update Date	:	03/22/2013

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