Individual
MELISSA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125.072891
IL
208000000X
Pediatrics Physician
Primary
T5225
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124.0272891
TEMPORARY MEDICAL PERMIT
IL
01
—
T5225
MEDICAL LICENSE
TX
Enumeration date
04/03/2018
Last updated
09/30/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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