Individual
CONNIE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5946 BLANCO RD STE 101, SAN ANTONIO, TX 78216-6634
(210) 738-0300
Mailing address
5946 BLANCO RD STE 101, SAN ANTONIO, TX 78216-6634
(210) 738-0300
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
733838
TX
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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