Individual
ANIRAPHONE LAOCHAREUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1251 E RED BIRD LN, DALLAS, TX 75241-2008
(214) 374-0827
(214) 374-0927
Mailing address
1251 E RED BIRD LN, DALLAS, TX 75241-2008
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12000
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA12000
TMB #
TX
Enumeration date
04/25/2018
Last updated
04/25/2018
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