Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 2005005294 | MO |
N | 2084N0400X | Neurologist | 35116 | SC |
N | 2084N0400X | Neurologist | L1698 | TX |
N | 2084V0102X | Vascular Neurology | L1698 | TX |
NPI | 1023033834 |
---|---|
Provider Name | Paisith Piriyawat |
First Address | El Paso, TX 79905-1613 |
Second Address | El Paso, TX 79905-2707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 15/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
351167 | (05) | SC |
I32778 | (02) |