Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Thek Mouanoutoua, PA-C

Individual provider Physician Assistant · NPI 1275772964

Mr. Thek Mouanoutoua, PA-C is a Physician Assistant in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4929 E Kings Canyon Rd
Fresno, CA 93727-3812
Phone: (559) 255-6476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 20176 (CA)

Record details

NPI number1275772964
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 19, 2009
Last updated in NPPESDecember 21, 2011

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