Individual provider · Type 1 NPI

Pichatorn Suppakitjanusant, MD

Student in an Organized Health Care Education/Training Program · Lubbock, TX

NPI number 1801587290 Active

Practice location

3601 4th St Stop 8321
Lubbock, TX 79430-8321

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1801587290

Pichatorn Suppakitjanusant, MD's National Provider Identifier is 1801587290, issued on May 16, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on May 16, 2023.