Individual
SMITHA SUSAN THANKACHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
975 SAM RAYBURN TOLLWAY STE 140, ALLEN, TX 75013-6021
(469) 495-9108
(469) 495-0708
Mailing address
801 BIRDIE DR, ALLEN, TX 75013-5110
(694) 434-6435
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA03912
TX
Other
Enumeration date
02/20/2010
Last updated
02/12/2023
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