Individual provider · Type 1 NPI

Boontharick Sopontammarak, DO

Internal Medicine Physician · Jbsa Fort Sam Houston, TX

NPI number 1851090252 Active

Practice location

3551 Roger Brooke Dr
Jbsa Fort Sam Houston, TX 78234-4504

Call (210) 292-7805 Map

Fax (210) 292-7868

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000X0102208949 (VA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Military Health Care Provider 171000000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1851090252

Boontharick Sopontammarak, DO's National Provider Identifier is 1851090252, issued on Feb 24, 2023. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Jbsa Fort Sam Houston, TX. The record was last updated on Jun 7, 2026.