Individual
SUMMER LEGEND THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9624 ORINDA DR, FORT WORTH, TX 76108-3880
(682) 407-6253
Mailing address
9624 ORINDA DR, FORT WORTH, TX 76108-3880
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
833028
TX
Other
Enumeration date
11/01/2025
Last updated
11/01/2025
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