Individual
THIVAKORN KASEMSRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8813
(806) 775-9182
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(806) 782-0097
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L0841
TX
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
L0841
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144993601
—
TX
Enumeration date
04/11/2006
Last updated
04/07/2021
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