Provider Demographics
NPI:1366276867
Name:THOMAS, ELESHIA
Entity type:Individual
Prefix:
First Name:ELESHIA
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 1:4201 CYPRESS CREEK PKWY STE 406
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3470
Mailing Address - Country:US
Mailing Address - Phone:281-919-2188
Mailing Address - Fax:281-214-6846
Practice Address - Street 1:4201 CYPRESS CREEK PKWY STE 406
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3470
Practice Address - Country:US
Practice Address - Phone:281-919-2188
Practice Address - Fax:281-214-6846
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy