Provider Information for 1821606997
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MYEA THOMAS LPC
Sex: Female
NPI: 1821606997
Last Updated: 2020-07-15
Certification Date: 2020-07-15
Certification Date: 2020-07-15
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1821606997 | ||||||||
| Enumeration Date | 2020-07-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 21327 BEACON SPRINGS LN KATY, TX 77449-5356 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 21327 BEACON SPRINGS LN KATY, TX 77449-5356 United States Phone: 832-638-3363 | Fax: | ||||||||
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