Provider Demographics
NPI:1851657340
Name:THOMAS, PRATHIBHA ANN (MD)
Entity Type:Individual
Prefix:
First Name:PRATHIBHA
Middle Name:ANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8330 HIGHWAY 6 STE 100
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5148
Mailing Address - Country:US
Mailing Address - Phone:281-276-0653
Mailing Address - Fax:281-276-0691
Practice Address - Street 1:8330 HIGHWAY 6 STE 100
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5148
Practice Address - Country:US
Practice Address - Phone:281-276-0653
Practice Address - Fax:281-276-0691
Is Sole Proprietor?:No
Enumeration Date:2012-04-09
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ2714207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine