Provider Demographics
NPI:1538964366
Name:THOMAS, TROY D SR (MED)
Entity type:Individual
Prefix:
First Name:TROY
Middle Name:D
Last Name:THOMAS
Suffix:SR
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16063 RUSTIC SANDS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-2958
Mailing Address - Country:US
Mailing Address - Phone:832-724-5128
Mailing Address - Fax:
Practice Address - Street 1:9200 BOONE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2038
Practice Address - Country:US
Practice Address - Phone:281-983-8455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst