Provider Demographics
NPI:1649524968
Name:THEMA MANAGEMENT COMPANY
Entity type:Organization
Organization Name:THEMA MANAGEMENT COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUNGWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-889-4400
Mailing Address - Street 1:7500 N DREAMY DRAW DR
Mailing Address - Street 2:SUITE 105A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4660
Mailing Address - Country:US
Mailing Address - Phone:602-889-4400
Mailing Address - Fax:602-216-6112
Practice Address - Street 1:2123 SUNSET PT
Practice Address - Street 2:SUITE B3
Practice Address - City:MIAMI
Practice Address - State:AZ
Practice Address - Zip Code:85539-1347
Practice Address - Country:US
Practice Address - Phone:928-425-8330
Practice Address - Fax:928-425-8335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-08
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty