Provider Demographics
NPI:1538784699
Name:THAPA, SUMITA
Entity type:Individual
Prefix:
First Name:SUMITA
Middle Name:
Last Name:THAPA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 TX-110 SUITE 0
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE
Mailing Address - State:TX
Mailing Address - Zip Code:75791
Mailing Address - Country:US
Mailing Address - Phone:903-839-1775
Mailing Address - Fax:
Practice Address - Street 1:601 TX-110 SUITE 0
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE
Practice Address - State:TX
Practice Address - Zip Code:75791
Practice Address - Country:US
Practice Address - Phone:701-441-9181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-14
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX904981163W00000X
TX1069777363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse