Individual
GWYN SRIFUENGFUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 4TH ST RM 3A105, LUBBOCK, TX 79430-0002
(806) 743-2391
(806) 743-5687
Mailing address
3601 4TH ST RM 3A105, LUBBOCK, TX 79430-0002
(806) 743-2391
(806) 743-5687
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
BP10080305
TX
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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