Provider Demographics
NPI:1477025633
Name:THOMAS, NAOMI RAE (LM, CPM)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:RAE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 LOUIS PASTEUR DR STE 106
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4510
Mailing Address - Country:US
Mailing Address - Phone:719-209-8869
Mailing Address - Fax:
Practice Address - Street 1:7400 LOUIS PASTEUR DR STE 106
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4510
Practice Address - Country:US
Practice Address - Phone:719-209-8869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99326176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife