Individual
TANAKORN SONGRUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 935-3550
Mailing address
4500 S GARNETT RD, STE 300, TULSA, OK 74146-5238
(918) 728-6194
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
31053
OK
2085R0204X
Vascular & Interventional Radiology Physician
Primary
31053
OK
Other
Enumeration date
10/01/2009
Last updated
12/09/2019
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