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TUENCHIT KHAMAPIRAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6550 FANNIN ST, SUITE 749, HOUSTON, TX 77030-2717
(713) 441-7465
Mailing address
6550 FANNIN ST, SUITE 749, HOUSTON, TX 77030-2717
(713) 441-7465

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E6452
TX
208D00000X
General Practice Physician
E6452
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101569503
TX
05
101569504
TX
01
8BQ330
BCBS
TX
Enumeration date
10/24/2006
Last updated
09/01/2010
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