Organization
PRECHA SUVUNRUNGSI, M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRECHA SUVUNRUNGSI M.D. (PHYSICIAN)
(254) 526-6604
Entity
Organization
Contact information
Practice address
2109 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
(254) 526-6604
Mailing address
2109 S CLEAR CREEK RD, KILLEEN, TX 76549-4110
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
E0159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110432502
—
TX
Enumeration date
05/10/2011
Last updated
05/10/2011
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