Doctor Name: | JUDITH LYNN THOMAS |
NPI Number: | 1972829075 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | 602040 |
Business Practice Address: | 508 W Barcus Clarendon, TX - 79226 |
Business Phone Number: | 8068745420 |
Business Fax Number: | |
Mailing Address: | Po Box 1106, CLARENDON |
State: | TX |
Postal Code: | 792261106 |
Phone Number: | 8068745420 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2010 |
NPI Last Update Date: | 04/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 602040 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |