Organization
THEERAPOL PRASERTSUNTARASAI MD PA
Active
Other names
West Texas Arthritis Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEERAPOL PRASERTSUNTARASAI MD (MD/OWNER)
(806) 589-1778
Entity
Organization
Contact information
Practice address
5609 114TH ST, LUBBOCK, TX 79424-6985
(806) 589-1778
(806) 589-1779
Mailing address
5609 114TH STREET, LUBBOCK, TX 79424
(806) 589-1778
(806) 589-1779
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R1108
LICENSE
TX
Enumeration date
03/15/2021
Last updated
02/02/2022
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