Provider Demographics
NPI:1265187041
Name:THOMAS, RACHEL M (CNA)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:M
Last Name:THOMAS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2401 W SAM HOUSTON PKWY N APT 704
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2026
Mailing Address - Country:US
Mailing Address - Phone:713-446-9430
Mailing Address - Fax:
Practice Address - Street 1:2401 W SAM HOUSTON PKWY N APT 704
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-2026
Practice Address - Country:US
Practice Address - Phone:713-446-9430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-19
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0008950856314000000X
TX008950586376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility