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Passisd Laoveeravat, MD
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1740701002

Passisd Laoveeravat is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Passisd Laoveeravat practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Passisd Laoveeravat is 1740701002 and holds a License No. BP10059576 (Texas).

The current practice location address for Passisd Laoveeravat is 3601 4Th St # Ms 9410, Lubbock, TX and can be reached out via phone at 806-743-3381.

Location: 3601 4Th St # Ms 9410, Lubbock, TX, 79430-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740701002
Provider Name
Passisd Laoveeravat
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3601 4Th St # Ms 9410, Lubbock, TX, 79430-0002
Phone Number
806-743-3381
Fax Number
Provider Enumeration Date
06/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th St # Ms 9410
City
Lubbock
State
Texas
Zip
79430-0002
Phone Number
806-743-3381
Fax Number
person
Provider Business Mailing Address Details
Address
3601 4Th St # Ms 9410
City
Lubbock
State
Texas
Zip
79430-0002
Phone Number
806-743-3381
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP10059576 (Texas)
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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