Provider / Organization | NPI | Date Certified |
---|---|---|
PITCHAPORN YINGCHONCHAROEN | 1659003051 | 2022-06-26 |
Pitchaporn Yingchoncharoen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659003051. Registration indicates Pitchaporn Yingchoncharoen is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Pitchaporn Yingchoncharoen MD |
Practice Office Address | 3601 4TH ST # MS 9410 LUBBOCK, TX US |
Practice Office Telephone | 8067436840 |
Practice Office Fax | 8067433143 |
Mailing Address | 3601 4TH ST # MS 9410 LUBBOCK, TX 794300001 US |
Business Telephone | 8067436840 |
Business Fax | 8067433143 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |