Tauthong, Chanida Gnayong

Tauthong, Chanida Gnayong is an individual health care provider with primary practice located at 2013 E Griffin Pkwy , Mission TX 78572-3222. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tauthong, Chanida Gnayong can be contacted via phone (956) 585-4704.

Contact Information

Primary practice address
2013 E Griffin Pkwy Mission TX 78572-3222
Fax: (956) 585-6775
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 600220 Texas

Profile Details

NPI number 1003857640
LBN Legal business name Tauthong, Chanida Gnayong
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Sep 27th, 2023 - about 3 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 1003857640 NPPES
Texas MEDICAID 1711194

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