Individual
CARLA D THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(917) 715-3800
Mailing address
PO BOX 208733, CHICAGO, IL 60620-8733
(312) 203-8217
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.017290
IL
Other
Enumeration date
03/09/2018
Last updated
09/18/2019
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