Active NPI
Patricia Thomas
- Contractor
- Del Valle, TX
National Provider Identifier
1932220365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 0004985
- Practice address
- 112 Rock Point
Del Valle, TX 78617 - Phone
- (512) 247-3475
- NPI assigned
- Apr 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 0004985 | TX | Primary |
Addresses
Primary practice location
112 Rock Point
Del Valle, TX 78617
Mailing address
PO Box 1205
Del Valle, TX 78617-1205
Phone (512) 247-3475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004985 | TX | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932220365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1205",
"city": "DEL VALLE",
"state": "TX",
"postal_code": "786171205",
"telephone_number": "512-247-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 ROCK POINT",
"city": "DEL VALLE",
"state": "TX",
"postal_code": "78617",
"telephone_number": "512-247-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PATRICIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "0004985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Del Valle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.