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Individual

JOISE A. THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHCNP

Contact information

Practice address
5201 HARRY HINES BLVD, WISH TUBAL CLINIC, DALLAS, TX 75235-7708
(214) 590-5306
(214) 590-2798
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
524565
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
144924101
TX
05
144924102
TX
05
144924103
TX
05
144924104
TX
05
144924105
TX
05
144924106
TX
05
144924107
TX
05
144924108
TX
05
144924109
TX
05
144924110
TX
05
144924111
TX
05
144924112
TX
01
8N4778
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/28/2005
Last updated
06/16/2009
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