Individual
MRS. BOSAMMA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7460 WARREN PKWY, SUITE 160, FRISCO, TX 75034-4169
(972) 668-5400
Mailing address
7460 WARREN PKWY, SUITE 160, FRISCO, TX 75034-4169
(972) 668-5400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
634148
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203547-03
GROUP TPI
TX
01
—
8572NC
BCBS
TX
01
—
TXB140060
GROUP PTAN
TX
Enumeration date
01/06/2012
Last updated
08/13/2013
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