Boontharick Sopontammarak, DO
NPI #1851090252 in Jbsa Ft Sam Houston, Texas
Provider Information
- NPI Number
- 1851090252
- Entity Type
- Individual
- Name
- Boontharick Sopontammarak, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- General Practice
- Credential
- DO
- Enumeration Date
- Feb 24, 2023
- Last Updated
- Nov 23, 2024
Practice Location
- Address
- 3551 ROGER BROOKE DR
- State
- Texas
- ZIP Code
- 78234-4504
- Phone
- (210) 292-7805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
| Student in an Organized Health Care Education/Training Program |
| General Practice |
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