Provider Demographics
NPI:1386835569
Name:THOMAS, ELIZABETH RACHEL (DO)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:RACHEL
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:ELIZABETH
Other - Middle Name:RACHEL
Other - Last Name:GEORGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:7800 PRESTON RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3234
Mailing Address - Country:US
Mailing Address - Phone:972-608-3800
Mailing Address - Fax:972-526-0741
Practice Address - Street 1:3044 OLD DENTON RD
Practice Address - Street 2:SUITE 138
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5016
Practice Address - Country:US
Practice Address - Phone:972-245-0007
Practice Address - Fax:972-245-9272
Is Sole Proprietor?:No
Enumeration Date:2007-08-05
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN6067208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
4728983315OtherMYUTMB 4728983315
TX213246602Medicaid
TX213246601Medicaid
TX213246603Medicaid
TX213246604Medicaid