Active NPI
Thomas Family Health and Wellness Clinic, LLC
- Primary Care Clinic/Center
- Daphne, AL
National Provider Identifier
1750799524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 29849
- Legal business name
- THOMAS FAMILY HEALTH AND WELLNESS CLINIC, LLC
- Practice address
- 28119 N Main St
Unit B
Daphne, AL 36526-7037 - Phone
- (251) 621-0640
- Fax
- (251) 621-0680
- NPI assigned
- Jul 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanessa Thomas, M.D.
- Title
- Officer/Owner
- Phone
- (251) 621-0640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 29849 | AL | Primary |
Addresses
Primary practice location
28119 N Main St
Unit B
Daphne, AL 36526-7037
Mailing address
28119 N Main St
Unit B
Daphne, AL 36526-7037
Phone (251) 621-0640
National Provider Directory
National Provider DirectoryLocations
28119 N Main St
Ste B
Daphne, AL 36526
Phone (251) 214-0040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406160000000",
"number": "1750799524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28119 N MAIN ST",
"address_2": "UNIT B",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267037",
"telephone_number": "251-621-0640",
"fax_number": "251-621-0680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28119 N MAIN ST",
"address_2": "UNIT B",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267037",
"telephone_number": "251-621-0640",
"fax_number": "251-621-0680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS FAMILY HEALTH AND WELLNESS CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "OFFICER/OWNER",
"authorized_official_telephone_number": "251-621-0640",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "AL",
"license": "29849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.