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:
Health care specialties
| Specialty | Code | License # | 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 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720242126 | NPPES |
| South Dakota | MEDICAID | 6702120 | |
| South Dakota | Other | TXB125279 |
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