Organization
SOUTH PLAINS PEDIATRIC CARDIOLOGY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOMKIAT SOPONTAMMARAK M.D. (OWNER)
(806) 441-1257
Entity
Organization
Contact information
Practice address
6401 INDIANA AVE STE C, LUBBOCK, TX 79413-5740
(806) 441-1257
(325) 200-4498
Mailing address
4503 82ND PL, LUBBOCK, TX 79424-4239
(806) 441-1257
(325) 200-4498
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
N9304
TX
Other
Enumeration date
06/06/2011
Last updated
03/20/2024
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