THEODORE INTHAPHOM (NPI# 1689202475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA13459 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25222 NORTHWEST FWY APT 349 |
| City | CYPRESS |
| State | TX |
| Zip Code | 77429-1065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424757 | Jesus Ramon Jasso Jr. | Counselor | 2126 Northwest Freeway/21216 U.S. 290 West, Suite 450, Cypress, TX 77429 | 2020-07-08 |
| 1659911196 | Ffarzamllc | Dentist | 12430 Grant Road, Suite C, Cypress, TX 77429 | 2020-01-13 |
| 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 |
| Find all providers in zip 77429 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 |
| Find all providers in CYPRESS | ||||
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| 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.