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Theerasak Tuangsithtanon, MD
Specialist in Lake Village, Arkansas
NPI 1023038585

Theerasak Tuangsithtanon is a Specialist based in Lake Village, AR. Theerasak Tuangsithtanon practices in Lake Village, AR and has the professional credentials of MD. The NPI Number for Theerasak Tuangsithtanon is 1023038585 and holds a License No. R2928 (Arkansas).

The current practice location address for Theerasak Tuangsithtanon is 2729 S Highway 65 82, Lake Village, AR and can be reached out via phone at 870-265-5074 and via fax at 870-265-5074.

Location: 2729 S Highway 65 82, Lake Village, AR, 71653-6136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023038585
Provider Name
Theerasak Tuangsithtanon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2729 S Highway 65 82, Lake Village, AR, 71653-6136
Phone Number
870-265-5074
Fax Number
870-265-5074
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2729 S Highway 65 82
City
Lake Village
State
Arkansas
Zip
71653-6136
Phone Number
870-265-5074
Fax Number
870-265-5074
person
Provider Business Mailing Address Details
Address
2729 S Highway 65 82
City
Lake Village
State
Arkansas
Zip
71653-6136
Phone Number
870-265-5074
Fax Number
870-265-5074
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
R2928 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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