person
Mrs. Panchanok Chumpumud Thompson, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Grapevine, Texas
NPI 1609384197

Panchanok Chumpumud Thompson is a Psychiatric/Mental Health Nurse Practitioner based in Fort Worth, TX and is specialized in Psychiatric/Mental Health. Panchanok Chumpumud Thompson practices in Grapevine, TX and has the professional credentials of PMHNP-BC. The NPI Number for Panchanok Chumpumud Thompson is 1609384197 and holds a License No. AP135936 (Texas).

The current practice location address for Panchanok Chumpumud Thompson is 1643 Lancaster Dr Ste 305, Grapevine, TX and can be reached out via phone at 817-778-0191 and via fax at 817-421-2940.

Location: 1643 Lancaster Dr Ste 305, Grapevine, TX, 76179-4257
person
Provider Profile Details
NPI Number
1609384197
Provider Name
Panchanok Chumpumud Thompson
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1643 Lancaster Dr Ste 305, Grapevine, TX, 76179-4257
Phone Number
817-778-0191
Fax Number
817-421-2940
Provider Enumeration Date
01/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1643 Lancaster Dr Ste 305
City
State
Zip
76051-3593
Phone Number
817-778-0191
Fax Number
817-421-2940
person
Provider Business Mailing Address Details
Address
1643 Lancaster Dr Ste 305
City
State
Zip
76051-3593
Phone Number
817-778-0191
Fax Number
817-421-2940
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP135936 (Texas)
Definition
Definition to come...
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