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NPI Code Detail

MEDICARE: MELISSA S THOMAS M.D.

MEDICARE:   MELISSA S THOMAS  M.D.
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
12084N0600XClinical Neurophysiology PhysicianN1183TX
22084N0400XNeurology PhysicianN1183TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1198293602OTHERTXCSHCN
28AA308OTHERTXBCBS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730330176
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA S THOMAS M.D.
Provider Business Mailing Address
First Line : 1908 THOMES AVE STE 12550
Second Line :
City : CHEYENNE
State : WY
Zip : 82001-3527
Country : US
Telephone Number : 303-776-5298
Fax Number : 303-682-2785
Provider Business Practice Location Address
First Line : 2358 MARONEAL ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-3218
Country : US
Telephone Number : 303-776-5298
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2008
Last Update Date : 10/20/2025

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Directions to “ MELISSA S THOMAS M.D.” Practice Location

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