Individual
TASNEE CHONMAITREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1022
(409) 772-0817
(409) 772-0885
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1022
(409) 772-0817
(409) 772-0885
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
G0972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124716502
—
TX
Enumeration date
09/29/2006
Last updated
07/08/2007
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