Chicot Radiology Consultant
NPI #1437215878 in Lake Village, Arkansas
Provider Information
- NPI Number
- 1437215878
- Entity Type
- Organization
- Organization Name
- Chicot Radiology Consultant
- Primary Specialty
- Specialist
- Enumeration Date
- Dec 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2729 S HIGHWAY 65 82
- City
- Lake Village
- State
- Arkansas
- ZIP Code
- 71653-6136
- Phone
- (870) 265-5074
Authorized Official
- Name
- DR. THEERASAK TUANGSITHTANON
- Title
- RADIOLOGY
- Phone
- (870) 265-5074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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