Individual
ERICA MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19432 COUNTY ROAD 2138 STE 200, TROUP, TX 75789
(903) 330-3395
Mailing address
419 S BECKHAM AVE, TYLER, TX 75702-8309
(903) 597-7700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
715445
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393611
AORN
—
01
—
715445
BOARD OF NURSE EXAMINERS
—
Enumeration date
07/30/2007
Last updated
08/08/2018
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