Individual
PORNPAN HIRANPRADIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11220 N LAMAR BLVD UNIT C300, AUSTIN, TX 78753-3000
(512) 299-9266
Mailing address
1307 QUAIL PARK DR, AUSTIN, TX 78758-6501
(646) 400-2807
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
36686
TX
Other
Enumeration date
09/22/2020
Last updated
09/23/2025
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