Individual
DR. PRASERT THAMMASITHIBOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
387 W I H 10, FORT STOCKTON, TX 79735-2700
(432) 336-2067
(432) 336-4511
Mailing address
387 W I H 10, PO BOX 1060, FORT STOCKTON, TX 79735-2700
(432) 336-2067
(432) 336-4511
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F1271
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87881S
BCBS
TX
Enumeration date
04/27/2006
Last updated
11/01/2007
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