MEDICARE: DR. REJIROSAN JOY THOMAS DDS

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	122300000X	Dentist	0022422	TX

General Provider Information

NPI Number	:	1740471986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REJIROSAN JOY THOMAS DDS

Provider Business Mailing Address
First Line	:	6120 SCOTT ST STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-2698
Country	:	US
Telephone Number	:	713-741-1000
Fax Number	:	713-741-1000

Provider Business Practice Location Address
First Line	:	6120 SCOTT ST STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-2698
Country	:	US
Telephone Number	:	713-741-1000
Fax Number	:	713-741-1000

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

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	03/08/2010

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