Individual
SOMKID SRIDAROMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3702 20TH ST, SUITE B, LUBBOCK, TX 79410-1206
(806) 791-5930
(806) 791-5937
Mailing address
3702 20TH ST, SUITE B, LUBBOCK, TX 79410-1206
(806) 791-5930
(806) 791-5937
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
E5255
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034659501
—
TX
01
—
89773Z
BCBS
TX
Enumeration date
07/29/2005
Last updated
02/13/2014
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