PORNTIP CHUNGCHANSAT

LUBBOCK, TX
NPI1720041429
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  E6282)
Enumeration Date2006-04-11
Last Update Date2011-10-26
Business Address
-- PORNTIP CHUNGCHANSAT MD
416 FRANKFORD
LUBBOCK, TX 79416
Phone number: 806-725-5410
Mailing Address
-- PORNTIP CHUNGCHANSAT MD
3420 22ND PLACE
LUBBOCK, TX 79410
Phone number: 806-725-7800
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