Chanida K Supavong DO

  • NPI 1750672218
According to our database, the NPI number for Chanida K Supavong DO is 1750672218 and activated since 13 years ago. Chanida K Supavong DO is an individual provider who specializes in Family Medicine, and the primary practice location is 5450 Clearfork Main St Ste 460, Fort Worth, TX 76109. You can also contact Chanida K Supavong DO via telephone number is (817) 423-5121. Provider NPI information was last updated on 07/25/2018.

Recently Active NPIs

Overview of Chanida K Supavong DO

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Female
  • Active since: 05/02/2011
  • Last updated: 07/25/2018

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: P5896
  • License State: TX

Provider Mailing Address

  • Address: 5450 Clearfork Main St Ste 460
    Fort Worth, TX 76109
  • Phone: 817-423-5121
  • Fax: 817-423-5122

Provider Practice Location

  • Address: 5450 Clearfork Main St Ste 460
    Fort Worth, TX 76109
  • Phone: 817-423-5121
  • Fax: 817-423-5122

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: P5896
  • License State: TX
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Chanida K Supavong DO?
  • A: The npi number for Chanida K Supavong DO is 1750672218.
  • Q: What are Chanida K Supavong DO's specialties?
  • A: Chanida K Supavong DO's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Chanida K Supavong DO?
  • A: The medical license number for Chanida K Supavong DO is P5896 and issued in TX in USA.
  • Q: Where is Chanida K Supavong DO practice location?
  • A: Chanida K Supavong DO is practicing at 5450 Clearfork Main St Ste 460, Fort Worth, TX 76109.
  • Q: How to contact Chanida K Supavong DO?
  • A: You can contact Chanida K Supavong DO via 817-423-5121.