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PRECHA SUVUNRUNGSI M.D. PA NPI 1194017145


NPI Information

NPI: 1194017145
Provider Name: PRECHA SUVUNRUNGSI, M.D. PA
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
2109 S CLEAR CREEK RD
KILLEEN, TX
ZIP 76549
Phone: (254) 526-6604
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PRECHA SUVUNRUNGSI, M.D. PA is a preferred provider organization in Killeen, TX. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PRECHA SUVUNRUNGSI, M.D. PA NPI is 1194017145. The provider is registered as an organization entity type.

The provider's business location address is:

2109 S CLEAR CREEK RD
KILLEEN, TX
ZIP 76549-110
Phone: (254) 526-6604

The provider's authorized official is Precha Suvunrungsi .
The authorized official title is Physician and has the following contact phone number (254) 526-6604.

The enumeration date for this NPI number is 5/10/2011 and was last updated on 5/10/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider OrganizationE0159TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B26792MEDICARE UPINTEXAS
2110432502MEDICAIDTEXAS
300N139MEDICARE PINTEXAS

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: 4/28/2024

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