Provider Demographics
NPI:1730961657
Name:THOMAS, LAURA MICHELLE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MICHELLE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3228 IVORY POINTE DR
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-0712
Mailing Address - Country:US
Mailing Address - Phone:832-455-9232
Mailing Address - Fax:281-283-2624
Practice Address - Street 1:2700 BAY AREA BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-1002
Practice Address - Country:US
Practice Address - Phone:281-283-2626
Practice Address - Fax:281-283-2624
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1139221207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine