MEDICARE: FLAVIA L. THOMAS D.O.

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	207Q00000X	Family Medicine Physician	K8520	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

General Provider Information

NPI Number	:	1609934868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FLAVIA L. THOMAS D.O.

Provider Business Mailing Address
First Line	:	4220 CARTWRIGHT RD STE 303
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5309
Country	:	US
Telephone Number	:	346-433-1579
Fax Number	:	346-585-5076

Provider Business Practice Location Address
First Line	:	4220 CARTWRIGHT RD STE 303
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5309
Country	:	US
Telephone Number	:	346-433-1579
Fax Number	:	346-585-5076

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

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	01/29/2025

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