Tuangsithtanon, Theerasak

Tuangsithtanon, Theerasak is an sole proprietor health care provider with primary practice located at 2729 S Highway 65 82 , Lake Village AR 71653-6136. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tuangsithtanon, Theerasak can be contacted via phone (870) 265-5074.

Contact Information

Primary practice address
2729 S Highway 65 82 Lake Village AR 71653-6136
Phone: (870) 265-5074
Fax: (870) 265-5074
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R2928 Arkansas

Profile Details

NPI number 1023038585
LBN Legal business name Tuangsithtanon, Theerasak
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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