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Organization
GRIENGSAK CHOWPAKNAM MD PA
Active
Organization
GRIENGSAK CHOWPAKNAM MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRIENGSAK CHOWPAKNAM MD (PRESIDENT)
(806) 872-6525
Entity
Organization
Contact information
Practice address
2200 N BRYAN AVE, LAMESA, TX 79331-2451
(806) 796-0507
(806) 799-6908
Mailing address
3411 UNIVERSITY AVE, LUBBOCK, TX 79413-2438
(806) 796-0507
(806) 799-6908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
09/15/2010
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