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NPI Code Detail

MEDICARE: AYE THIDA M.D.

MEDICARE:   AYE  THIDA  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianK9917TX

General Provider Information

NPI Number : 1386628592
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYE THIDA M.D.
Provider Business Mailing Address
First Line : 5201 HIGHWAY 6
Second Line : STE.500A
City : MISSOURI CITY
State : TX
Zip : 77459-4369
Country : US
Telephone Number : 281-208-4600
Fax Number : 281-208-4608
Provider Business Practice Location Address
First Line : 5201 HIGHWAY 6
Second Line : STE.500A
City : MISSOURI CITY
State : TX
Zip : 77459-4369
Country : US
Telephone Number : 281-208-4600
Fax Number : 281-208-4608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 07/08/2007

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