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Organization

BOONIPAT CRANIOFACIAL AND FACIAL PLASTIC SURGERY

Active
Other names
Boonipat Facial Plastic Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
THANAPOOM BOONIPAT MD (FOUNDER, CEO)
(603) 731-6888
Entity
Organization

Contact information

Practice address
3813 22ND ST STE E, LUBBOCK, TX 79410-1156
(603) 731-6888
Mailing address
3813 22ND ST STE E, LUBBOCK, TX 79410-1156
(603) 731-6888

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
04/18/2024
Last updated
04/24/2024
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