MRS. SUPRANEE PHONSOMBAT MD NPI 1477647238

NPI Information

NPI: 1477647238
Provider Name: MRS. SUPRANEE PHONSOMBAT, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
2031 CROCKETT RD
PALESTINE, TX
ZIP 75801
Phone: (903) 729-3896
Get Directions

MRS. Supranee Phonsombat, MD is an obstetrics gynecology in Palestine, TX. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. MRS. Supranee Phonsombat, MD NPI is 1477647238. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2031 CROCKETT RD
PALESTINE, TX
ZIP 75801
Phone: (903) 729-3896
Fax: (903) 729-2583

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		F2852	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00FA62	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	B25499	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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