Provider Demographics
NPI:1083270557
Name:THOMAS, RAY (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:RAY
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 DAME CAROL WAY
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-2357
Mailing Address - Country:US
Mailing Address - Phone:214-336-7847
Mailing Address - Fax:972-394-8947
Practice Address - Street 1:1033 DAME CAROL WAY
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-2357
Practice Address - Country:US
Practice Address - Phone:214-336-7847
Practice Address - Fax:972-394-8947
Is Sole Proprietor?:No
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily