MEDICARE: LUCY C. THOMAS PA-C

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	363A00000X	Physician Assistant	PA06302	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00932142	OTHER	NV	RAILROAD MEDICARE

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	:	1871724807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUCY C. THOMAS PA-C

Provider Business Mailing Address
First Line	:	300 N CAMPBELL ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79901-1402
Country	:	US
Telephone Number	:	915-212-1384
Fax Number	:	915-212-0026

Provider Business Practice Location Address
First Line	:	300 N CAMPBELL ST
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79901-1402
Country	:	US
Telephone Number	:	915-212-1384
Fax Number	:	915-212-0026

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

Provider Enumeration Date	:	08/08/2009
Last Update Date	:	10/14/2015

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