Healthcare Provider Details
I. General information
NPI: 1811054513
Provider Name (Legal Business Name): MONICA THINT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 01/02/2007
Last Update Date: 06/27/2022
Certification Date: 06/27/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17448 HIGHWAY 3 STE 200
WEBSTER TX
77598-4140
US
IV. Provider business mailing address
PO BOX 650859 DEPT 710
DALLAS TX
75265-0532
US
V. Phone/Fax
- Phone: 832-505-1748
- Fax: 863-297-9750
- Phone: 409-772-0620
- Fax: 904-697-5102
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | J7692 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: