MEDICARE: PRATHIBHA ANN 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
1	207Q00000X	Family Medicine Physician	Q2714	TX

General Provider Information

NPI Number	:	1851657340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRATHIBHA ANN THOMAS M.D.

Provider Business Mailing Address
First Line	:	8330 HIGHWAY 6 STE 100
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5148
Country	:	US
Telephone Number	:	281-276-0653
Fax Number	:	281-276-0691

Provider Business Practice Location Address
First Line	:	8330 HIGHWAY 6 STE 100
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5148
Country	:	US
Telephone Number	:	281-276-0653
Fax Number	:	281-276-0691

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

Provider Enumeration Date	:	04/09/2012
Last Update Date	:	04/03/2024

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