MR. THEK MOUANOUTOUA


Address: 4929 E Kings Canyon Rd, Fresno, CA 93727-3812
Phone: 5592556476

MR. THEK MOUANOUTOUA (NPI# 1275772964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275772964
Entity Type Individual
Full Name MR. THEK MOUANOUTOUA
Credential PA-C
Practice Address 4929 E Kings Canyon Rd
Fresno
CA 93727-3812
Mailing Address 4929 E. Kings Canyon Road
Fresno
CA 93727-3812
Practice Telephone 5592556476
Mailing Telephone 5592556476
Enumeration Date 2009-02-19
Last Update Date 2011-12-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 20176 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4929 E KINGS CANYON RD
City FRESNO
State CA
Zip Code 93727-3812

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811009244 Kongmong Moua Physician Assistant 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 2006-08-31
1952804684 Maysee Yang Social Worker 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 2018-03-08
1154656254 Greater Fresno Health Orgnization, Inc. Exclusive Provider Organization 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 2009-10-07
1164682100 Vang Vince Moua Physician Assistant 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 2008-06-12
1649438425 Hyacintha Eyiuche Agina Nurse Practitioner 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 2008-05-28
1922189489 Maximo A Parayno Jr. Psychiatry & Neurology 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 2006-10-18
1215018783 Hoang D Tieu Psychiatry & Neurology 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 2006-10-18
1811087752 John James Lubenko General Practice 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 2006-10-13
1053401927 Tou Choua Vang Pediatrics 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 2006-10-13
1356431217 John Vien Dao General Practice 4929 E Kings Canyon Rd, Fresno, CA 93727-3812 2006-10-13
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427524354 Travis L Minor Driver 4573 Kings Canyon Rd, Freso, CA 93727 2018-10-18
1780178921 Amanda Hernandez Behavior Technician 6358 E Mono St, Fresno, CA 93727 2018-06-20
1225533169 Lindsay Fisher Marriage & Family Therapist 4928 E Clinton Way Ste 108, Fresno, CA 93727 2018-03-23
1811351992 Paulinder Ranu Pediatrics 5557 E King Cyn Rd, Fresno, CA 93727 2016-04-05
1851781371 Sheri Taylor Social Worker 2010 N Fine Ave # 105, Fresno, CA 93727 2015-02-04
1770917486 Elouise Jones-green Counselor 4491 E. Mckinley Ave #112, Fresno, CA 93727 2013-08-29
1700227022 Chee Vang Counselor 4855 E Kings Canyon Rd Ste 105, Fresno, CA 93727 2013-07-15
1578839791 Garfield Beach Cvs LLC Durable Medical Equipment & Medical Supplies 5995 E Kings Canyon Rd, Fresno, CA 93727 2012-04-02
1932411378 Leticia Ball Marriage & Family Therapist 4944 E. Clinton Way, Fresno, CA 93727 2010-07-13
1639308158 Juanita Sermeno Counselor 4944 E. Clinton, Suite 101, Fresno, CA 93727 2009-07-06
Find all providers in zip 93727

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356951057 Sylvia Kim Hinton Physician Assistant 4085 N Peach Ave Apt 204, Fresno, CA 93727-8416 2020-08-06
1790300721 Cayla Marie Clark Physician Assistant 4523 N Sunnyside Ave, Fresno, CA 93727-7265 2020-06-16
1720601396 Cynthia Thompson Physician Assistant 699 E Portland Ave, Fresno, CA 93720-2114 2020-05-18
1679124507 Folawemimo Eve Oluwaseun Onigbinde Physician Assistant 1131 Noble Glen Dr, Fresno, TX 77545-9689 2019-09-23
1194380253 Edgar Ivan Mercado Physician Assistant 1350 O St Ste 202, Fresno, CA 93721-1828 2019-05-04
1255892683 Stephanie Tran Physician Assistant 6700 N 1st St Ste 131, Fresno, CA 93710-3947 2019-03-28
1942624473 Konducive Concepts Physician Assistant 4006 Dogwood Bough Ln, Fresno, TX 77545-7128 2014-02-04
1568891729 Robert Ginther Physician Assistant 1300 N Fresno St Ste 220, Fresno, CA 93703-3843 2013-11-07
1134472707 Isaac Gutierrez Physician Assistant 4105 W Swift Ave Ste 101, Fresno, CA 93722-6386 2012-10-19
1598033078 Omni Women's Health Medical Group Physician Assistant 3612 N. First St., Fresno, CA 93726 2011-12-12
Find all providers in FRESNO

Competitor

Search similar providers

City FRESNO
Zip Code 93727

Improve Information

Please comment or provide details below to improve the information on MR. THEK MOUANOUTOUA.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches