Individual
PATRICK PIYA LERTDILOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, UNIT 1476, HOUSTON, TX 77030-4000
(713) 792-8182
Mailing address
5465 JOHN DREAPER DR, HOUSTON, TX 77056-4230
(512) 589-6262
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
P5834
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10034055
TX
Other
Enumeration date
09/25/2009
Last updated
04/30/2015
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