Provider Demographics
NPI:1467561977
Name:THOMAS, JOY (NP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17685
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77496-7685
Mailing Address - Country:US
Mailing Address - Phone:281-565-1112
Mailing Address - Fax:281-565-1102
Practice Address - Street 1:16605 SOUTHWEST FREEWAY
Practice Address - Street 2:SUITE 175
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-0003
Practice Address - Country:US
Practice Address - Phone:281-565-1112
Practice Address - Fax:281-565-1102
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX245110363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00190618OtherMEDICARE RR
TX4828341OtherAETNA
TX0064LXOtherBLUE CROSS BLUE SHIELD
TX342989601OtherMEDICAID
TX8B9178OtherMEDICARE
TX8N7284OtherBCBS
TX2109454OtherUNITED HC
TX2109454OtherUNITED HC