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Pathom Thavaradhara, MD
Pulmonary Disease Physician in Pampa, Texas
NPI 1043237076

Pathom Thavaradhara is a Pulmonary Disease Physician based in Pampa, TX and is specialized in Pulmonary Disease. Pathom Thavaradhara practices in Pampa, TX and has the professional credentials of MD. The NPI Number for Pathom Thavaradhara is 1043237076 and holds a License No. L8581 (Texas).

The current practice location address for Pathom Thavaradhara is 100 W 30Th Ave Ste 102, Pampa, TX and can be reached out via phone at 806-669-2900 and via fax at 806-669-2301.

Location: 100 W 30Th Ave Ste 102, Pampa, TX, 79065-2814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043237076
Provider Name
Pathom Thavaradhara
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 W 30Th Ave Ste 102, Pampa, TX, 79065-2814
Phone Number
806-669-2900
Fax Number
806-669-2301
Provider Enumeration Date
07/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8M7360 01 TX BLUE CROSS/BLUE SHIELD
P00209318 01 RAILROAD MEDICARE, PALMETTO GBA
167273501 05 TX
institution
Provider Business Practice Location Address Details
Address
100 W 30Th Ave Ste 102
City
Pampa
State
Texas
Zip
79065-2814
Phone Number
806-669-2900
Fax Number
806-669-2301
person
Provider Business Mailing Address Details
Address
100 W 30Th Ave Ste 102
City
Pampa
State
Texas
Zip
79065-2814
Phone Number
806-669-2900
Fax Number
806-669-2301
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Pulmonary Disease
Taxonomy
207RP1001X
License No.
L8581 (Texas)
Definition
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.
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