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RATTAPOL SRISINROONGRUANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 W RANDOL MILL RD, DEPT OF EMERGENCY MEDICINE, ARLINGTON, TX 76012-2504
(817) 548-6100
Mailing address
2670 S AW GRIMES BLVD APT 2405, ROUND ROCK, TX 78664-2845
(214) 289-8172

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C70003449
DE
207P00000X
Emergency Medicine Physician
Primary
N4124
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204229301
TX
05
204229302
TX
01
8BT332
BCBS TX
TX
01
P00778778
RAILROAD MCARE THRU AEMA
TX
Enumeration date
03/06/2007
Last updated
10/13/2025
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