Individual
DR. MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
600 N PARK ST, BRENHAM, TX 77833-2610
(979) 337-5800
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P0800
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P0800
MEDICAL LICENSE NUMBER
TX
Enumeration date
03/24/2009
Last updated
07/30/2020
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