Individual
ALICE D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Mailing address
1133 MEDICAL DR, TYLER, TX 75701-2130
(903) 595-5486
(903) 595-5128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP132180
TX
363LF0000X
Family Nurse Practitioner
AP132180
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368396301
—
TX
Enumeration date
12/01/2016
Last updated
05/04/2023
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