Provider Demographics
NPI:1851631964
Name:THWING, SAMANTHA MARIE KINSMAN (PA)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:MARIE KINSMAN
Last Name:THWING
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:SAMANTHA
Other - Middle Name:MARIE
Other - Last Name:KINSMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6400 FANNIN ST STE 2070
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-1541
Mailing Address - Country:US
Mailing Address - Phone:713-486-8000
Mailing Address - Fax:713-486-8088
Practice Address - Street 1:929 GESSNER RD, STE 2410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2515
Practice Address - Country:US
Practice Address - Phone:713-486-7720
Practice Address - Fax:713-486-7744
Is Sole Proprietor?:No
Enumeration Date:2013-02-26
Last Update Date:2020-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA08345363A00000X, 363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX319588501Medicaid
TXP01193601OtherMEDICARE RAILROAD
TX899N59OtherBCBS TX
TXP01193601OtherMEDICARE RAILROAD