Provider Demographics
NPI:1700226099
Name:RANADA, MEI LENE THAI (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MEI LENE
Middle Name:THAI
Last Name:RANADA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 ROLAND CANYON DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-2719
Mailing Address - Country:US
Mailing Address - Phone:979-451-3136
Mailing Address - Fax:
Practice Address - Street 1:8350 FRY RD # 400
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-7116
Practice Address - Country:US
Practice Address - Phone:281-783-8162
Practice Address - Fax:281-895-3083
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA09032363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant