Sopontammarak, Somkiat

Sopontammarak, Somkiat is an sole proprietor health care provider with primary practice located at 6401 Indiana Ave Suite C, Lubbock TX 79413-5740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Sopontammarak, Somkiat can be contacted via phone (806) 799-3322.

Contact Information

Primary practice address
6401 Indiana Ave Suite C Lubbock TX 79413-5740
Phone: (806) 799-3322
Fax: (806) 799-3327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X N9304 Texas

Profile Details

NPI number 1720242126
LBN Legal business name Sopontammarak, Somkiat
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2008
Last updated Mar 20th, 2024 - about 8 months 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 1720242126 NPPES
South Dakota MEDICAID 6702120
South Dakota Other TXB125279

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