Individual
DR. ELIZABETH MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
R9155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009462900
—
FL
01
—
20A118220
BLUE SHIELD PROVIDER NUMBER
CA
05
—
391018401
—
TX
Enumeration date
11/21/2007
Last updated
08/09/2023
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