Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 34191 | TX |
Y | 213EG0000X | General Practice | 34191 | TX |
NPI | 1003301938 |
---|---|
Provider Name | Dr. Warunsiri Paikoh Arrechea |
First Address | Trophy Club, TX 76262-3462 |
Second Address | Irving, TX 75062-3649 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2018 |
Last Update Date | 23/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34191 | TEXAS STATE BOARD OF DENTAL EXAMNIERS (01) | TX |