person
Pichatorn Suppakitjanusant, MD
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1801587290

Pichatorn Suppakitjanusant is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Pichatorn Suppakitjanusant practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Pichatorn Suppakitjanusant is 1801587290 and holds a License No. (Texas).

The current practice location address for Pichatorn Suppakitjanusant is 3601 4Th St Stop 8321, Lubbock, TX and can be reached out via phone at 678-848-5637.

Location: 3601 4Th St Stop 8321, Lubbock, TX, 79430-8321
person
Provider Profile Details
NPI Number
1801587290
Provider Name
Pichatorn Suppakitjanusant
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3601 4Th St Stop 8321, Lubbock, TX, 79430-8321
Phone Number
678-848-5637
Fax Number
Provider Enumeration Date
05/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th St Stop 8321
City
State
Zip
79430-8321
Phone Number
678-848-5637
Fax Number
person
Provider Business Mailing Address Details
Address
3601 4Th St Stop 8321
City
State
Zip
79430-8321
Phone Number
678-848-5637
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.
(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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