Basic Information
| Provider Information | |||||||||
| NPI: | 1134777238 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | THOMAS | ||||||||
| FirstName: | CINI | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4019 LAGUNA POINT LN | ||||||||
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| City: | MISSOURI CITY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 774595038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2818545670 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9504 LONG POINT RD, SUITE E | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 77055 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134613535 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2019 | ||||||||
| LastUpdateDate: | 07/29/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | AP142314 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.