MEDICARE: MICHAEL R THOMAS M.S.

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	106H00000X	Marriage & Family Therapist	01404	NV

General Provider Information

NPI Number	:	1831514793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL R THOMAS M.S.

Provider Business Mailing Address
First Line	:	801 S RANCHO DR STE E8
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3812
Country	:	US
Telephone Number	:	702-606-7530
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S RANCHO DR STE E8
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3812
Country	:	US
Telephone Number	:	702-758-3280
Fax Number	:

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

Provider Enumeration Date	:	02/28/2014
Last Update Date	:	03/11/2019

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