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

Pathom Thavaradhara Md Pa is a Pulmonary Disease Physician based in Pampa, TX and is specialized in Pulmonary Disease. Pathom Thavaradhara Md Pa practices in Pampa, TX. The NPI Number for Pathom Thavaradhara Md Pa is 1861664435 and holds a License No. L8581 (Texas).

The current practice location address for Pathom Thavaradhara Md Pa is 100 W 30Th Ave Ste 102, Pampa, TX and can be reached out via phone at 806-669-2900 and via fax at 806-669-2031.

Location: 100 W 30Th Ave Ste 102, Pampa, TX, 79065-2814
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861664435
Provider Name
Pathom Thavaradhara Md Pa
Credential
Provider Entity Type
Organization
Address
100 W 30Th Ave Ste 102, Pampa, TX, 79065-2814
Phone Number
806-669-2900
Fax Number
806-669-2031
Provider Enumeration Date
03/24/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0012LM 01 TX BLUE CROSS/BLUE SHIELD
167272701 05 TX
DD1161 01 TX RAILROAD MEDICARE, PALMETTO GBA
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
806-669-2031
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
806-669-2031
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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