Tham, Mo-Ping Marlene

Tham, Mo-Ping Marlene is an individual health care provider with primary practice located at 548 Marine Corps Dr. , Tamuning GU 96913. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Tham, Mo-Ping Marlene can be contacted via phone (671) 646-5825.

Contact Information

Primary practice address
548 Marine Corps Dr. Tamuning GU 96913
Phone: (671) 646-5825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X M5540 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M5540 Texas

Profile Details

NPI number 1851462139
LBN Legal business name Tham, Mo-Ping Marlene
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated May 12th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851462139 NPPES
Texas MEDICAID 190830302
Texas Other 8X7291
Texas Other P00919164
Texas MEDICAID 190830301

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