Provider Demographics
NPI:1033400908
Name:THOMAS, CHERESSA Y
Entity Type:Individual
Prefix:
First Name:CHERESSA
Middle Name:Y
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13203 CRIM RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77049-3433
Mailing Address - Country:US
Mailing Address - Phone:832-465-1099
Mailing Address - Fax:281-459-3720
Practice Address - Street 1:10146 VALLEY WIND DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77078-3737
Practice Address - Country:US
Practice Address - Phone:832-465-1099
Practice Address - Fax:281-459-3720
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-27
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No172A00000XOther Service ProvidersDriver
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health Information
No247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information