Individual
SANDY THAMMASITHIBOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, HOUSE STAFF & GME, DALLAS, TX 75390
(214) 590-8058
Mailing address
P.O. BOX 845347, HOUSE STAFF & GME, DALLAS, TX 75390
(214) 590-8058
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N4794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0026367
INSTITUTIONAL PERMIT
—
Enumeration date
05/30/2007
Last updated
06/29/2010
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