Individual
MS. CHANAKAM KANITTAMNIYOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3601 4TH ST, TEXAS TECH UNIVERSITY HEALTH SCIENCES CENT, LUBBOCK, TX 79430
(806) 743-6840
Mailing address
3601 4TH ST, TEXAS TECH UNIVERSITY HEALTH SCIENCES CENT, LUBBOCK, TX 79430
(806) 743-1000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
02/05/2025
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