Theodore Inthaphom

Physician assistant in Houston, Texas · NPI 1689202475

Theodore Inthaphom is one of 1,419 physician assistants practicing in Houston, Texas. Theodore Inthaphom practices with UT Physicians.

Registry record (NPPES)

NPI: 1689202475
Type: Type 1 · Individual
Primary taxonomy: Physician Assistant, Medical · 363AM0700X
Address on file: 6400 Fannin St Ste 1700
Houston, TX 77030-1526
(682) 554-4173
Enumerated: Mar 29, 2020
Record last updated: Aug 4, 2022
License states listed: TX

Medicare (CMS)

Enrollment: Medicare-enrolled in TX
Physician Assistant
Revalidation due: No date set by CMS

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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history

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Practice locations

6410 Fannin St
Houston, TX 77030
6411 Fannin St
Houston, TX 77030
(713) 704-0093
6411 Fannin St Suite 400
Houston, TX 77030
(713) 500-3267
6431 Fannin St Msb2.100
Houston, TX 77030
(713) 500-7700
5420 W Loop S Suite 2400
Bellaire, TX 77401
(713) 486-3550
27700 Hwy 290
Cypress, TX 77433
27700 Northwest Fwy
Cypress, TX 77433
(713) 486-5750
27700 Northwest Fwy 320
Cypress, TX 77433
(713) 486-5750
27700 NW Fwy 200
Cypress, TX 77433
(713) 486-5750

More physician assistants in Houston

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.