THEA C PENNYWELL PA
NPI 1295038149
Physician Assistant in Shreveport, LA
About Thea C Pennywell Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEA C PENNYWELL PA (NPI 1295038149) is an individual physician assistant in Shreveport, Louisiana, licensed in Louisiana (PA200405) and active in the NPI registry since December 2010.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71105
SHREVEPORT, LA 71105
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 Thea Pennywell's NPI number?
The NPI number for Thea Pennywell is 1295038149. It was assigned to this individual provider in the NPPES registry on December 15, 2010.
Where is Thea Pennywell located?
Thea Pennywell practices at 7925 Youree Dr Suite 220, Shreveport, LA 71105. The listed phone number is (318) 424-3400.
What is Thea Pennywell's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
When was this NPI record last updated?
The NPPES record for Thea Pennywell was last updated on December 15, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.