Individual
WANPEN VONGPATANASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-2888
(214) 648-3063
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-2888
(214) 648-3063
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J8161
TX
207RH0005X
Hypertension Specialist Physician
J8161
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124064004
—
TX
Enumeration date
03/16/2006
Last updated
12/07/2017
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