| Doctor Name: | MR. CHARLES THOMAS |
| NPI Number: | 1740644749 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | 41951 |
| Business Practice Address: | 1122 Somercotes Ln Channelview, TX - 775302412 |
| Business Phone Number: | 2813527287 |
| Business Fax Number: | |
| Mailing Address: | 4000 Spencer Hwy, PASADENA |
| State: | TX |
| Postal Code: | 775041202 |
| Phone Number: | 7133593673 |
| Fax Number: | 7133591059 |
| NPI Enumeration Date: | 04/06/2016 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 41951 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |