Provider Demographics
NPI:1083810972
Name:THOMAS, STEPHANIE M (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:M
Last Name:THOMAS
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Gender:F
Credentials:APRN, FNP-BC
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Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2520 BROADWAY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1140
Mailing Address - Country:US
Mailing Address - Phone:210-595-1019
Mailing Address - Fax:210-251-3194
Practice Address - Street 1:2520 BROADWAY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1140
Practice Address - Country:US
Practice Address - Phone:210-595-1019
Practice Address - Fax:210-251-3194
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2013-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX683200363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily