Individual
DR. PHONTHEP ANGSUWATCHARAKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-2121
Mailing address
1755 WYNDALE ST APT 637, HOUSTON, TX 77030-4180
(832) 991-5154
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
BP10062578
TX
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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