Provider Demographics
NPI:1790957496
Name:THOMAS, DEBBY (MS, RPA-C)
Entity Type:Individual
Prefix:MRS
First Name:DEBBY
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MS, RPA-C
Other - Prefix:MS
Other - First Name:DEBBY
Other - Middle Name:
Other - Last Name:YOHANNAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7709 SAN JACINTO PL
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3215
Mailing Address - Country:US
Mailing Address - Phone:214-709-1904
Mailing Address - Fax:214-292-9329
Practice Address - Street 1:7709 SAN JACINTO PL
Practice Address - Street 2:SUITE 101
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3215
Practice Address - Country:US
Practice Address - Phone:214-709-1904
Practice Address - Fax:214-292-9329
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001958363A00000X
NY011589363A00000X
TXPA 06711363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant