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Dr. Suraphandhu Srivathanakul, MD
Specialist in Dallas, Texas
NPI 1912127127

Suraphandhu Srivathanakul is a Specialist based in Dallas, TX. Suraphandhu Srivathanakul practices in Dallas, TX and has the professional credentials of MD. The NPI Number for Suraphandhu Srivathanakul is 1912127127 and holds a License No. E7288 (Texas).

The current practice location address for Suraphandhu Srivathanakul is 2630 N Fitzhugh Ave, Dallas, TX and can be reached out via phone at 214-826-6420 and via fax at 214-826-6739.

Location: 2630 N Fitzhugh Ave, Dallas, TX, 75204-3366
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912127127
Provider Name
Suraphandhu Srivathanakul
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2630 N Fitzhugh Ave, Dallas, TX, 75204-3366
Phone Number
214-826-6420
Fax Number
214-826-6739
Provider Enumeration Date
04/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1202772-01 05 TX
institution
Provider Business Practice Location Address Details
Address
2630 N Fitzhugh Ave
City
Dallas
State
Texas
Zip
75204-3366
Phone Number
214-826-6420
Fax Number
214-826-6739
person
Provider Business Mailing Address Details
Address
2630 N Fitzhugh Ave
City
Dallas
State
Texas
Zip
75204-3366
Phone Number
214-826-6420
Fax Number
214-826-6739
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
E7288 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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