Individual provider · Type 1 NPI

Theodore Inthaphom

Medical Physician Assistant · Houston, TX

NPI number 1689202475 Active

Practice location

6400 Fannin St Ste 1700
Houston, TX 77030-1526

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA13459 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1689202475

Theodore Inthaphom's National Provider Identifier is 1689202475, issued on Mar 29, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Houston, TX. The record was last updated on Aug 4, 2022.