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Individual

DR. PAIROJ PRATUMRAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3900 JOE RAMSEY BLVD E, SUITE E, GREENVILLE, TX 75401-7727
(903) 454-1722
(903) 454-1750
Mailing address
3900 JOE RAMSEY BLVD E, SUITE E, GREENVILLE, TX 75401-7727
(903) 454-1722
(903) 454-1750

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G8748
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00HQ59
BCBS
TX
05
098812302
TX
01
28714
AMERIGROUP
TX
01
3346
PARKLAND MEDICAID
TX
01
4079663
AETNA
TX
Enumeration date
06/16/2005
Last updated
04/15/2011
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