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Cicimol Thomas, APRN
Family Nurse Practitioner in Southlake, Texas
NPI 1609652817

Cicimol Thomas is a Family Nurse Practitioner based in Southlake, TX and is specialized in Family. Cicimol Thomas practices in Southlake, TX and has the professional credentials of APRN. The NPI Number for Cicimol Thomas is 1609652817 and holds a License No. 1134263 (Texas).

The current practice location address for Cicimol Thomas is 150 Ginger Ct, Southlake, TX and can be reached out via phone at 305-801-6448.

Location: 150 Ginger Ct, Southlake, TX, 76092-6046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609652817
Provider Name
Cicimol Thomas
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
150 Ginger Ct, Southlake, TX, 76092-6046
Phone Number
305-801-6448
Fax Number
Provider Enumeration Date
09/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Ginger Ct
City
Southlake
State
Texas
Zip
76092-6046
Phone Number
305-801-6448
Fax Number
person
Provider Business Mailing Address Details
Address
150 Ginger Ct
City
Southlake
State
Texas
Zip
76092-6046
Phone Number
305-801-6448
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1134263 (Texas)
Definition
Definition to come...
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