Provider Demographics
NPI:1518190867
Name:THOMAS, RITA SARA (FNP)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:SARA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:RITA
Other - Middle Name:
Other - Last Name:JOHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:3705 MEDICAL PKWY
Mailing Address - Street 2:SUITE 440
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1019
Mailing Address - Country:US
Mailing Address - Phone:512-215-8985
Mailing Address - Fax:512-215-8732
Practice Address - Street 1:3705 MEDICAL PKWY
Practice Address - Street 2:SUITE 440
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1019
Practice Address - Country:US
Practice Address - Phone:512-215-8985
Practice Address - Fax:512-215-8732
Is Sole Proprietor?:No
Enumeration Date:2009-09-02
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX762792363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily