Sheela Thomas
Individual provider Active NPI General Practice Dentistry · Quinlan, TX
NPI 1356409452 · NPPES record last updated Jun 4, 2021
Key facts
- NPI
- 1356409452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 21088 (TX)
- Practice address
- 711 E Quinlan Pkwy
Quinlan, TX 75474-8641 - Phone
- (903) 356-5319
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160321001441 | TX | Order and Referring Only - Dentist |
5890009435 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21088 | TX | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 21088 | TX | Yes |
Addresses
Primary practice location
711 E Quinlan Pkwy
Quinlan, TX 75474-8641
Mailing address
PO Box 940
Quinlan, TX 75474-0016
Phone (903) 356-5319
Other providers in Quinlan, TX
- Rosalinda Lucatero Solis
- Jennie L Squires
- Texas Em-I Medical Services PA
- James E Theken Jr.
- Rebecca L Thomas
- Tanya Lynn Todd
- Wal-Mart Stores Texas LLC
- Wal-Mart Stores Texas, LLC
- Jessica Renee Waldrep
- Walgreen Co
All providers in Quinlan, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.