Individual
PAISITH PIRIYAWAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5900
(915) 215-8615
Mailing address
5130 GATEWAY BLVD E # 51015, EL PASO, TX 79905-1608
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
L1698
TX
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
L1698
TX
2084N0400X
Neurology Physician
2005005294
MO
2084N0400X
Neurology Physician
35116
SC
2084N0400X
Neurology Physician
L1698
TX
2084V0102X
Vascular Neurology Physician
L1698
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
351167
—
SC
Enumeration date
07/13/2006
Last updated
11/09/2023
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