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1912127127
SURAPHANDHU SRIVATHANAKUL
DALLAS, TX
NPI
1912127127
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: TX E7288)
Enumeration Date
2007-04-27
Last Update Date
2009-03-30
Business Address
Dr. SURAPHANDHU SRIVATHANAKUL M.D
2630 N FITZHUGH AVE
DALLAS, TX 75204-3366
Phone number: 214-826-6420
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Mailing Address
Dr. SURAPHANDHU SRIVATHANAKUL M.D
2630 N FITZHUGH AVE
DALLAS, TX 75204-3366
Phone number: 214-826-6420
Copy
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