Individual
WANPEN VONGPATANASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
Update your record
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