Individual
DR. SURAPHANDHU SRIVATHANAKUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2630 N FITZHUGH AVE, DALLAS, TX 75204-3366
(214) 826-6420
(214) 826-6739
Mailing address
2630 N FITZHUGH AVE, DALLAS, TX 75204-3366
(214) 826-6420
(214) 826-6739
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E7288
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1202772-01
—
TX
Enumeration date
04/27/2007
Last updated
03/30/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us