Individual
THIDA LWIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8400 ESTERS BLVD, SUITE 190, IRVING, TX 75063-2203
(214) 596-2255
(214) 596-2297
Mailing address
PO BOX 164045, AUSTIN, TX 78716-4045
(214) 596-2255
(214) 596-2297
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
47156
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M1898
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD034304
DC
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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