Pathom Thavaradhara Md Pa, NPI 1861664435
Pulmonary Disease Physician in Pampa, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1861664435
NPI Entity Type Organization
Provider Name Pathom Thavaradhara Md Pa
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 100 W 30th Ave Ste 102, Pampa, TX, US
Provider Mailing Address 100 W 30th Ave Ste 102, Pampa, TX, US, 790652814
Is Sole Proprietor? No
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Organization Official

Official Name MD Pathom Thavaradhara
Official Position PRESIDENT
Phone 806-669-2900

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207RP1001X

Taxonomy Name Pulmonary Disease Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. L8581
License State TX
Description An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Business Address

Pathom Thavaradhara Md Pa
100 W 30th Ave Ste 102

Pampa, TX, US

Phone: 806-669-2900
Fax: 806-669-2031

Mailing Address

Pathom Thavaradhara Md Pa
100 W 30th Ave Ste 102
Pampa, TX, US
ZIP 790652814
Phone: 806-669-2900
Fax: 806-669-2031

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0012LM TX BLUE CROSS/BLUE SHIELD 01
167272701 TX MEDICAID 05
DD1161 TX RAILROAD MEDICARE, PALMETTO GBA 01

Other Providers in TX, US

NPI Name Taxonomy Address

1891155230

DO Merissa Ferguson

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Organization

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Organization

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MRS. PA Christine M Gonzales

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Jamille Edwards

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Global Care Services

Organization

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Richmond, TX

1336489012

LPC Lawanda Martin

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1750005120

Chaney Landgraf

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2313 Roosevelt Dr

Arlington, TX

1760846802

Kristina Tzartzeva

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Austin, TX

1235758160

FNP-BC Dolores Reyes

Individual

Family Nurse Practitioner

6306 Fairbanks N Houston Rd

Houston, TX

1114552817

MRS. FNP Sasha Mireya Gonzalez

Individual

Family Nurse Practitioner

125 N Nueces Park Ln

Harlingen, TX

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MRS. FNP Maria Fechner

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Family Nurse Practitioner

125 N Nueces Park Ln

Harlingen, TX

1760050793

DR. DDS Blessing Alagba

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Dentist

3550 E Broad St Ste 112

Mansfield, TX

1811594450

Jessica Hooson, Lcsw, P.l.l.c.

Organization

Community/Behavioral Health Agency

1004 Placid Creek Ct

Round Rock, TX

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