person
Dr. Chaiyos Khongkhatithum, MD
Student in an Organized Health Care Education/Training Program in Dallas, Texas
NPI 1033377528

Chaiyos Khongkhatithum is a Student in an Organized Health Care Education/Training Program based in Cleveland, TX. Chaiyos Khongkhatithum practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Chaiyos Khongkhatithum is 1033377528 and holds a License No. 57012391 (Texas).

The current practice location address for Chaiyos Khongkhatithum is 5323 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-456-8242.

Location: 5323 Harry Hines Blvd, Dallas, TX, 44120-1035
person
Provider Profile Details
NPI Number
1033377528
Provider Name
Chaiyos Khongkhatithum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5323 Harry Hines Blvd, Dallas, TX, 44120-1035
Phone Number
214-456-8242
Fax Number
Provider Enumeration Date
05/30/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5323 Harry Hines Blvd
City
State
Zip
75390-7201
Phone Number
214-456-8242
Fax Number
person
Provider Business Mailing Address Details
Address
5323 Harry Hines Blvd
City
State
Zip
75390-7201
Phone Number
214-456-8242
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
57012391 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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