Provider Demographics
NPI:1699932251
Name:THOMAS, MELANIE (WHNP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1976
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78297-1976
Mailing Address - Country:US
Mailing Address - Phone:210-614-7744
Mailing Address - Fax:210-614-2232
Practice Address - Street 1:335 E SONTERRA BLVD STE 170
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-4068
Practice Address - Country:US
Practice Address - Phone:210-614-7744
Practice Address - Fax:210-614-2232
Is Sole Proprietor?:No
Enumeration Date:2008-05-21
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX651297363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health