Individual
MS. BEENA M THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N TEXAS AVE, SUITE 4300, WEBSTER, TX 77598-4966
(281) 338-5437
(281) 338-9543
Mailing address
P.O. BOX 4346 DEPT 494, HOUSTON, TX 77210-4346
(281) 646-1935
(281) 646-0927
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K9434
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017PC
BCBS GROUP ID
TX
01
—
201032630
TAX ID
TX
01
—
8W9481
BCBS INDIVIDUAL ID
TX
01
—
K9434
MEDICAL LICENSE
TX
Enumeration date
10/11/2006
Last updated
06/01/2009
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