Provider Demographics
NPI:1528011343
Name:MUCHER, THEODORA (MD)
Entity Type:Individual
Prefix:
First Name:THEODORA
Middle Name:
Last Name:MUCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9530 HUFFMEISTER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-2855
Mailing Address - Country:US
Mailing Address - Phone:281-855-3700
Mailing Address - Fax:832-427-1680
Practice Address - Street 1:9530 HUFFMEISTER RD STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2855
Practice Address - Country:US
Practice Address - Phone:281-855-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5475208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics