Provider Demographics
NPI:1588946305
Name:THOMAS, CAROLINA BAQUERO (DDS)
Entity type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:BAQUERO
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:DIANA
Other - Middle Name:CAROLINA
Other - Last Name:SANCHEZ BAQUERO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:9701 N SAM HOUSTON PKWY E
Mailing Address - Street 2:SUITE 160
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396
Mailing Address - Country:US
Mailing Address - Phone:832-225-6925
Mailing Address - Fax:832-917-0056
Practice Address - Street 1:9701 N SAM HOUSTON PKWY E
Practice Address - Street 2:SUITE 160
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396
Practice Address - Country:US
Practice Address - Phone:832-225-6925
Practice Address - Fax:832-917-0056
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX273821223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry