Individual
PRINCEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP, RN
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP133586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
377927402
—
TX
01
—
377927403
MEDICAID-CSHCN
TX
01
—
8LU189
BCBS
TX
Enumeration date
04/17/2017
Last updated
11/25/2019
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