Provider Demographics
NPI:1104246594
Name:THOMAS, ANU
Entity type:Individual
Prefix:
First Name:ANU
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 SCHOOL ST STE 26
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4595
Mailing Address - Country:US
Mailing Address - Phone:281-374-9700
Mailing Address - Fax:281-370-8765
Practice Address - Street 1:14502 CYPRESS MILL PLACE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7300
Practice Address - Country:US
Practice Address - Phone:281-374-9700
Practice Address - Fax:281-370-8765
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR1662208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics