Healthcare Provider Details

I. General information

NPI: 1710898978
Provider Name (Legal Business Name): THIRILOSHINI THOPPE KRISHNAKUMAR CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

847 MUSTANG RIDGE DR
MURPHY TX
75094-4476
US

IV. Provider business mailing address

847 MUSTANG RIDGE DR
MURPHY TX
75094-4476
US

V. Phone/Fax

Practice location:
  • Phone: 714-785-6495
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberALPP-371880
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: