Kamthong, Sasiwan W

Kamthong, Sasiwan W is an individual health care provider with primary practice located at 2636 W Walnut St , Garland TX 75042-6485. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kamthong, Sasiwan W can be contacted via phone (972) 487-5800.

Contact Information

Primary practice address
2636 W Walnut St Garland TX 75042-6485
Phone: (972) 487-5800
Fax: (972) 487-9680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP111202 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP111202 Texas

Profile Details

NPI number 1457308967
LBN Legal business name Kamthong, Sasiwan W
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Apr 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457308967 NPPES
Texas MEDICAID 147897601

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