Provider Demographics
NPI:1750390092
Name:THAMPOE, KAREN X (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:X
Last Name:THAMPOE
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 1:21238 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5898
Mailing Address - Country:US
Mailing Address - Phone:832-321-4962
Mailing Address - Fax:281-944-9602
Practice Address - Street 1:21238 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5898
Practice Address - Country:US
Practice Address - Phone:832-321-4962
Practice Address - Fax:281-606-0394
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0289207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171157402Medicaid
TX171157402Medicaid
TX8K1831Medicare PIN
TX8J2362Medicare PIN