Individual
KRAIWIT KRAISIRISOPHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
461 21ST AVE S, NASHVILLE, TN 37240-1104
(615) 322-4400
Mailing address
439 WESTMORELAND ST, HOUSTON, TX 77006-4520
(281) 964-5914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1083779
TX
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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