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NPI Code Detail

MEDICARE: AYE THIDA MD.PA.

MEDICARE: AYE THIDA MD.PA.
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 Physician

General Provider Information

NPI Number : 1477416212
Entity Type Code : Organization
Provider Name (Legal Business Name) : AYE THIDA MD.PA.
Provider Business Mailing Address
First Line : 2205 WILLIAMS TRACE BLVD STE 105
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4443
Country : US
Telephone Number : 281-208-4600
Fax Number : 281-208-4608
Provider Business Practice Location Address
First Line : 2205 WILLIAMS TRACE BLVD STE 105
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4443
Country : US
Telephone Number : 281-208-4600
Fax Number : 281-208-4608
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : AYE THIDA
Credential : MD
Telephone Number : 281-208-4600
Provider Enumeration Date : 12/08/2025
Last Update Date : 12/08/2025

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