NPI 1730626151

Kiante Thomas

Practitioner Community Health Worker Tyler, TX

Practice location

Address: 2136 Fm 757, Tyler, TX 75705-4520
Phone: (903) 590-9511
Mailing address: 11205 Timber Creek Dr, Tyler, TX 75707-5353

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 28007345 (TX)

Other Community Health Worker providers in Texas →

Registry record

NPI: 1730626151
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Jan 2017
Record last updated: 23 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.