THEODORE INTHAPHOM


Address: 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065
Phone: 6825544173

THEODORE INTHAPHOM (NPI# 1689202475) 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) 1689202475
Entity Type Individual
Full Name THEODORE INTHAPHOM
Practice Address 25222 Northwest Fwy Apt 349
Cypress
TX 77429-1065
Practice Telephone 6825544173
Mailing Telephone 6825544173
Enumeration Date 2020-03-29
Last Update Date 2020-03-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA13459 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 25222 NORTHWEST FWY APT 349
City CYPRESS
State TX
Zip Code 77429-1065

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NPI Name Taxonomy Address Enumeration
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1467094136 Bud Norita Technician 11111 Saathoff Dr., Apt. #422, Cypress, TX 77429 2019-10-14
1710529938 Cypress Pediatric Occupational Therapy Occupational Therapist 12916 Malcomson Rd, Cypress, TX 77429 2019-10-09
1902460058 Alison M Lampton Counselor 17920 Huffmeister Rd Ste 250, Cypress, TX 77429 2019-04-24
1295295699 Ana Paula Mendez Nurse Practitioner 4216 Northwest Fwy, Suite 560, Cypress, TX 77429 2019-03-21
1952860371 Andre Austin Behavior Technician 12110 Huffmeister, Cypress, TX 77429 2019-03-15
1598224917 Tania Nguyen Behavior Technician 12110 Huffmeister Rd, Cypress, TX 77429 2019-03-15
1265903330 Cypress Rosehill Family Dentistry, Pllc Dentist 15626 Cypress Rosehill Rd, Suite 300, Cypress, TX 77429 2018-12-16
1124597661 Gordon Agawereh Nurse Practitioner 25801 Us-290, Cypress, TX 77429 2018-11-14
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750466181 Danielle Diana Wells Physician Assistant 10165 Valley View St, Cypress, CA 90630-4602 2006-10-26
1033196076 Tamara Ann Kapplinger Physician Assistant 21216 Northwest Freeway Ste 570, Cypress, TX 77429 2005-12-30
1649718883 Janine Rachael Zener Physician Assistant 21216 Northwest Fwy, Suite 550, Cypress, TX 77429-1439 2017-02-08
1912452152 Supreet Kaur Physician Assistant 21212 Northwest Fwy, Suite #: 205, Cypress, TX 77429-5884 2016-08-17
1639527252 Jean Barnett Physician Assistant 21212 Northwest Fwy, Suite 265, Cypress, TX 77429-5884 2016-05-25
1801291554 Sara Wingate Physician Assistant 10720 Barker Cypress Rd, Cypress, TX 77433-1372 2014-10-23
1639592140 Chelsie J Krobot Physician Assistant 25801 Hwy 290, Cypress, TX 77429-1049 2014-02-04
1043641764 Jennifer Nicole Dorchuck Physician Assistant 10720 Barker Cypress Rd, Cypress, TX 77433-1372 2013-12-05
1700226099 Mei Lene Thai Ranada Physician Assistant 10720 Barker Cypress Rd, Cypress, TX 77433-1372 2013-07-01
1720423841 Cypress Springs Family Care-pearland, Pllc Physician Assistant 7630 Fry Rd, Suite 300, Cypress, TX 77433-3375 2013-05-02
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Competitor

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City CYPRESS
Zip Code 77429

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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.

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