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General NPI Number Information
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NPI Number | 1477416212
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Entity Type | Organization
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Legal Business Name | AYE THIDA MD.PA.
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 2205 WILLIAMS TRACE BLVD STE 105
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City | SUGAR LAND
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State | TX
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Zip | 77478-4443
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Country | US
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Telephone | 281-208-4600
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Fax | 281-208-4608
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Provider Business Mailing Address
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Address Line | 2205 WILLIAMS TRACE BLVD STE 105
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City | SUGAR LAND
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State | TX
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Zip | 77478-4443
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Country | US
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Telephone | 281-208-4600
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Fax | 281-208-4608
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | AYE THIDA
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Credential | MD
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Telephone | 281-208-4600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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