Kasemsri, Thivakorn
Kasemsri, Thivakorn is an individual health care provider with primary practice located at 602 Indiana Ave , Lubbock TX 79415-3364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Kasemsri, Thivakorn can be contacted via phone (806) 775-8813.Contact Information
Primary practice address
602 Indiana Ave
Lubbock TX 79415-3364
Phone: (806) 775-8813
Fax: (806) 775-9182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | L0841 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | L0841 | Texas |
Profile Details
| NPI number | 1588627293 |
|---|---|
| LBN Legal business name | Kasemsri, Thivakorn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Apr 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588627293 | NPPES |
| Texas | MEDICAID | 144993601 |
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