Individual
MS. BENCY ANN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 398-1796
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10873
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366307202
—
TX
01
—
366307203
MEDICAID-CSHCN
TX
Enumeration date
09/20/2016
Last updated
12/19/2023
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