Provider Demographics
NPI:1801347729
Name:THOMAS, TONI HARAWAY (NP-C)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:HARAWAY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11445 COMPAQ CENTER WEST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-1433
Mailing Address - Country:US
Mailing Address - Phone:888-245-9806
Mailing Address - Fax:
Practice Address - Street 1:16131 N ELDRIDGE PKWY
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-9129
Practice Address - Country:US
Practice Address - Phone:281-429-8522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29072363LA2200X
OH0034387363LA2200X
AL1-126361363LA2200X
TXAP132262363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology