Provider Demographics
NPI:1508699042
Name:THI, LINDA (AGCNS-BC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:THI
Suffix:
Gender:
Credentials:AGCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 W 38TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-1107
Mailing Address - Country:US
Mailing Address - Phone:512-451-7935
Mailing Address - Fax:512-451-7965
Practice Address - Street 1:911 W 38TH ST STE 200
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-1107
Practice Address - Country:US
Practice Address - Phone:512-451-7935
Practice Address - Fax:512-451-7965
Is Sole Proprietor?:No
Enumeration Date:2024-08-21
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1085233364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology