Individual
GRIENGSAK CHOWPAKNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2200 N BRYAN AVE, LAMESA, TX 79331-2451
(806) 872-6525
(806) 872-6550
Mailing address
3411 UNIVERSITY AVE, LUBBOCK, TX 79413-2438
(806) 796-0507
(806) 799-6908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F4793
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137332612
—
TX
Enumeration date
05/25/2006
Last updated
09/09/2010
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