Individual
THEERAPOL PRASERTSUNTARASAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5609 114TH ST, LUBBOCK, TX 79424
(806) 589-1778
(806) 589-1779
Mailing address
5609 114TH ST, LUBBOCK, TX 79424
(806) 589-1778
(806) 589-1779
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
MD28385
OR
207RR0500X
Rheumatology Physician
MD28385
OR
207RR0500X
Rheumatology Physician
Primary
R1108
TX
Other
Enumeration date
02/15/2007
Last updated
08/31/2021
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