Individual
TIA D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1701 OLD MINDEN RD STE 17F, BOSSIER CITY, LA 71111-4804
(318) 317-1238
(318) 390-1800
Mailing address
1701 OLD MINDEN RD STE 17F, BOSSIER CITY, LA 71111-4804
(318) 317-1238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
807424
TX
363LF0000X
Family Nurse Practitioner
Primary
AP06652
LA
Other
Enumeration date
09/26/2011
Last updated
07/06/2023
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