Provider Demographics
NPI:1811152556
Name:THOMAS, LAUREN KATHERINE (ANP-C)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:KATHERINE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:6620 MAIN ST
Mailing Address - Street 2:SUITE 1450
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2348
Mailing Address - Country:US
Mailing Address - Phone:832-355-1400
Mailing Address - Fax:713-610-2481
Practice Address - Street 1:6620 MAIN ST
Practice Address - Street 2:SUITE 1450
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2348
Practice Address - Country:US
Practice Address - Phone:832-355-1400
Practice Address - Fax:713-610-2481
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-22
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX903901163W00000X
TXA0608025363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX180970902Medicaid
TX180970902Medicaid