Precha Suvunrungsi, M.D. Pa

LBN: Precha Suvunrungsi, M.D. Pa
Precha Suvunrungsi, M.D. Pa is an health care organization with primary practice located at 2109 S Clear Creek Rd , Killeen TX 76549-4110. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Precha Suvunrungsi, M.D. Pa can be contacted via phone (254) 526-6604, or through Suvunrungsi, Precha via phone (254) 526-6604.

Contact Information

Primary practice address
2109 S Clear Creek Rd Killeen TX 76549-4110
Phone: (254) 526-6604
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Suvunrungsi, Precha Doctor of Medicine (MD)
Phone: (254) 526-6604

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X E0159 Texas

Profile Details

NPI number 1194017145
LBN Legal business name Precha Suvunrungsi, M.D. Pa
DBA Doing business as
Authorized official Suvunrungsi, Precha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2011
Last updated May 10th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194017145 NPPES
Texas MEDICAID 110432502

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