MEDICARE: THERESE LAINE SISON

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	R1455	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841618295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THERESE LAINE SISON

Provider Business Mailing Address
First Line	:	1001 STUDEWOOD ST STE 200B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-7190
Country	:	US
Telephone Number	:	713-363-9830
Fax Number	:

Provider Business Practice Location Address
First Line	:	427 W 20TH ST STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-2431
Country	:	US
Telephone Number	:	713-363-9830
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	04/23/2025

Similar Medicare Providers

1841877289 — DOCTOR AT HOME LLC
Practice Location Address:

427 W 20TH ST STE 610
HOUSTON, TX
77008-2431

Practice Phone: 713-867-9637
Practice Fax: 713-863-9637

1689607681 — OWEN E MC CORMACK D.O.
Practice Location Address:

427 W 20TH ST STE 500
HOUSTON, TX
77008-2431

Practice Phone: 713-363-9830
Practice Fax:

1689750200 — MR. IBRAHIM GARCIA-MOWATT M.D.
Practice Location Address:

427 W 20TH ST STE 610
HOUSTON, TX
77008-2431

Practice Phone: 713-863-0492
Practice Fax: 713-863-9637

1477944130 — JOO LEE DO
Practice Location Address:

427 W 20TH ST STE 500
HOUSTON, TX
77008-2431

Practice Phone: 713-363-9830
Practice Fax: 713-426-1848

1750919346 — AUBREY PAXSON DO
Practice Location Address:

427 W 20TH ST STE 500
HOUSTON, TX
77008-2431

Practice Phone: 713-363-9830
Practice Fax:

1992789978 — FRAN A YOKOPOVICH R.C.T.
Practice Location Address:

12000 RICHMOND AVE , SUITE 150
HOUSTON, TX
77082-2431

Practice Phone: 281-920-5100
Practice Fax: 281-920-5101

Directions to “ THERESE LAINE SISON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.