Individual
JOMOL ELIZABETH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6565 FANNIN ST STE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Mailing address
6565 FANNIN ST STE B452, HOUSTON, TX 77030-2703
(713) 441-3620
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP133362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
371518701
—
TX
05
—
371518702
—
TX
01
—
371518703
CSHCN MEDICAID
TX
Enumeration date
04/21/2017
Last updated
07/21/2022
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