Individual
SHATISHA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 MEDICAL PKWY, WACO, TX 76712-7910
(254) 751-4000
Mailing address
111 RAMBLE LN STE 115, AUSTIN, TX 78745-2281
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-314988
TX
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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