Individual
MRS. TERESA M THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCSH
Contact information
Practice address
102 RIDGE CV, COLLEGE STATION, TX 77845-5033
(979) 219-2421
Mailing address
102 RIDGE CV, COLLEGE STATION, TX 77845-5033
(979) 219-2421
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
249
TX
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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