TINA MAI HOUA THAO
NPI 1124770433
Driver in Appleton, WI
About Tina Mai Houa Thao NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA MAI HOUA THAO (NPI 1124770433) is an individual driver provider in Appleton, Wisconsin and active in the NPI registry since January 2022.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tina Thao's NPI number?
The NPI number for Tina Thao is 1124770433. It was assigned to this individual provider in the NPPES registry on January 19, 2022.
Where is Tina Thao located?
Tina Thao practices at 2300 W Russet Ct, Appleton, WI 54914. The listed phone number is (715) 572-0765.
What is Tina Thao's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Tina Thao was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tina Mai Houa Thao · NPI 1124770433
Driver provider in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since January 19, 2022.
## Identity
- **NPI:** 1124770433 (Entity type: Individual)
- **Enumerated:** January 19, 2022
- **Primary specialty:** Driver · taxonomy 172A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 W RUSSET CT, Appleton, WI 54914-6285
- **Phone:** (715) 572-0765
## Record status
- **NPPES last updated:** January 19, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124770433) · Data from the CMS NPPES public registry.