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Individual
TANGY NICOLE KINCAID THOMAS
Active
Individual
TANGY NICOLE KINCAID THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
777455
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP117858
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202731002
—
TX
05
—
202731008
—
TX
01
—
777455
BCBS
TX
01
—
8KP516
BCBS
TX
01
—
P02210578
MEDICARE RAIL ROAD
TX
Enumeration date
01/08/2009
Last updated
03/29/2026
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