Vongpatanasin, Wanpen
Vongpatanasin, Wanpen is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Hypertension Specialist. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Vongpatanasin, Wanpen can be contacted via phone (214) 645-2888.Contact Information
Primary practice address
5323 Harry Hines Blvd
Dallas TX 75390-7208
Phone: (214) 645-2888
Fax: (214) 648-3063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | J8161 | Texas |
| Allopathic & Osteopathic Physicians / Hypertension Specialist | 207RH0005X | J8161 | Texas |
Profile Details
| NPI number | 1174592679 |
|---|---|
| LBN Legal business name | Vongpatanasin, Wanpen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Dec 7th, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174592679 | NPPES |
| Texas | MEDICAID | 124064004 |
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