Provider Demographics
NPI:1316083082
Name:NASSER, THOMAS TIRONA (NP)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:TIRONA
Last Name:NASSER
Suffix:
Gender:M
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:2300 OLD SPANISH TRL
Mailing Address - Street 2:# 1092
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2154
Mailing Address - Country:US
Mailing Address - Phone:713-383-0545
Mailing Address - Fax:713-383-0545
Practice Address - Street 1:7600 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-4302
Practice Address - Country:US
Practice Address - Phone:713-456-5000
Practice Address - Fax:713-456-5652
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2024-09-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX660015363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX177664301Medicaid