person
Ethan Lumongsud
Student in an Organized Health Care Education/Training Program in Dallas, Texas
NPI 1699468439

Ethan Lumongsud is a Student in an Organized Health Care Education/Training Program based in Dallas, TX. Ethan Lumongsud practices in Dallas, TX. The NPI Number for Ethan Lumongsud is 1699468439 and holds a License No. (Texas).

The current practice location address for Ethan Lumongsud is 5323 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-648-2168 and via fax at 214-648-7517.

Location: 5323 Harry Hines Blvd, Dallas, TX, 75390-9006
person
Provider Profile Details
NPI Number
1699468439
Provider Name
Ethan Lumongsud
Credential
Provider Entity Type
Individual
Gender
Male
Address
5323 Harry Hines Blvd, Dallas, TX, 75390-9006
Phone Number
214-648-2168
Fax Number
214-648-7517
Provider Enumeration Date
05/29/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5323 Harry Hines Blvd
City
State
Zip
75390-9006
Phone Number
214-648-2168
Fax Number
214-648-7517
person
Provider Business Mailing Address Details
Address
5323 Harry Hines Blvd
City
State
Zip
75390-9006
Phone Number
214-648-2168
Fax Number
214-648-7517
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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