Provider Demographics
NPI:1932193026
Name:THAUNG, HTIN AUNG (MD)
Entity type:Individual
Prefix:
First Name:HTIN
Middle Name:AUNG
Last Name:THAUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MONAHANS
Mailing Address - State:TX
Mailing Address - Zip Code:79756-4015
Mailing Address - Country:US
Mailing Address - Phone:432-943-2068
Mailing Address - Fax:432-943-3114
Practice Address - Street 1:813 E 4TH ST
Practice Address - Street 2:
Practice Address - City:MONAHANS
Practice Address - State:TX
Practice Address - Zip Code:79756-4015
Practice Address - Country:US
Practice Address - Phone:432-943-2068
Practice Address - Fax:432-943-3114
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME89525207R00000X
TXN4795207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL269456500Medicaid
FL37926OtherBCBS
FL37926ZMedicare ID - Type Unspecified
FL269456500Medicaid