Provider Demographics
NPI:1942747928
Name:THOMAS, TOMEKA (LVN)
Entity Type:Individual
Prefix:
First Name:TOMEKA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11825 LONGWOOD GARDEN WAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-4435
Mailing Address - Country:US
Mailing Address - Phone:346-717-1348
Mailing Address - Fax:
Practice Address - Street 1:11825 LONGWOOD GARDEN WAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-4435
Practice Address - Country:US
Practice Address - Phone:346-717-1348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care