Individual
MRS. SUPRANEE PHONSOMBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2031 CROCKETT RD, PALESTINE, TX 75801
(903) 729-3896
(903) 729-2583
Mailing address
2031 CROCKETT RD, PALESTINE, TX 75801
(903) 729-3896
(903) 729-2583
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F2852
TX
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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