Provider Demographics
NPI:1942806468
Name:THOMAS, CHRISTINA AMANDA
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:AMANDA
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20718 PARK ROW DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-5181
Mailing Address - Country:US
Mailing Address - Phone:281-206-7071
Mailing Address - Fax:281-715-5602
Practice Address - Street 1:20718 PARK ROW DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-5181
Practice Address - Country:US
Practice Address - Phone:281-206-7071
Practice Address - Fax:281-715-5602
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician