Pathom Thavaradhara, MD

NPI 1043237076 · on the registry since 2006 · sole proprietor

Practice

Address: 100 W 30th Ave Ste 102
Pampa, TX 79065
Phone: (806) 669-2900
Fax: (806) 669-2301
Organisation at this address: Gloria M Trirogoff Md Pa
Pathom Thavaradhara Md Pa
Prime Healthcare Services Pampa Llc
Prime Healthcare Services Pampa Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 207RP1001X
207RP1001X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas