Individual
AUTUMN E THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
20325 N 51ST AVE STE 126, GLENDALE, AZ 85308-5677
(602) 341-5248
(602) 702-5219
Mailing address
2503 N YORKCHASE LN, CONROE, TX 77304-3106
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86175394
TX
Other
Enumeration date
04/22/2024
Last updated
04/07/2025
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