Individual
REGINA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4364 WESTERN CENTER BLVD # 139, FORT WORTH, TX 76137-2043
(636) 448-4449
Mailing address
4364 WESTERN CENTER BLVD # 139, FORT WORTH, TX 76137-2043
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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