Kwi, Timu Niratsuwan

Kwi, Timu Niratsuwan is an sole proprietor health care provider with primary practice located at 1200 N Virginia St , Port Lavaca TX 77979-2507. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kwi, Timu Niratsuwan can be contacted via phone (361) 552-6721.

Contact Information

Primary practice address
1200 N Virginia St Port Lavaca TX 77979-2507
Fax: (361) 552-7463
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X L6546 Texas

Profile Details

NPI number 1164465415
LBN Legal business name Kwi, Timu Niratsuwan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Dec 22nd, 2009 - about 15 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 1164465415 NPPES
Texas Other 000H160 GROUP MEDICARE NUMBER
Texas Other 133513502 GROUP MEDICARE NUMBER
Texas MEDICAID 160771501 GROUP MEDICARE NUMBER

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