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THEODORE INTHAPHOM
Medical Physician Assistant
NPI: 1689202475IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician AssistantPrimary
Physician Assistant — Medical
Code: 363AM0700X
PA13459(TX)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2019
Contact & Hours
- Address
- 6400 FANNIN ST STE 1700
HOUSTON, TX 77030 - Phone
- (682) 554-4173
Quick Facts
- NPI
- 1689202475
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 7
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