Provider Demographics
NPI:1154574002
Name:THOMAS, PATRICIA JOHNSON (M,A, CCC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JOHNSON
Last Name:THOMAS
Suffix:
Gender:F
Credentials:M,A, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15315 DAWN MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3817
Mailing Address - Country:US
Mailing Address - Phone:281-444-5584
Mailing Address - Fax:281-444-3984
Practice Address - Street 1:15315 DAWN MEADOWS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3817
Practice Address - Country:US
Practice Address - Phone:281-444-5584
Practice Address - Fax:281-444-3984
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10619235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist