Individual
JERICA ARUNTHAMAKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1331 W GRAND PKWY N, SUITE #203, KATY, TX 77493-2710
(281) 392-8620
Mailing address
3120 PARKWAY, PIGEON FORGE, TN 37863-3310
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
TN
363A00000X
Physician Assistant
Primary
—
TX
Other
Enumeration date
10/04/2012
Last updated
12/07/2014
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