Provider Demographics
NPI:1093313678
Name:THOMAS, SHERMA ASHA (FNP)
Entity Type:Individual
Prefix:MS
First Name:SHERMA
Middle Name:ASHA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23203 LONE WOLF TRL
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-7718
Mailing Address - Country:US
Mailing Address - Phone:832-206-4805
Mailing Address - Fax:
Practice Address - Street 1:23203 LONE WOLF TRL
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-7718
Practice Address - Country:US
Practice Address - Phone:832-206-4805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily