Individual
DR. CHANOKPORN PUCHONGMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-6840
(806) 743-3143
Mailing address
14461 JUDD ST, ARLETA, CA 91331-5054
(818) 355-4493
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/20/2024
Last updated
04/20/2024
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