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NPI Code Detail

MEDICARE: CHRIS PROMPRASERT

MEDICARE: CHRIS PROMPRASERT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1396617593
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRIS PROMPRASERT
Provider Business Mailing Address
First Line : 874 AMERICAN PACIFIC DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8800
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 874 AMERICAN PACIFIC DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-8800
Country : US
Telephone Number : 909-667-0126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2025
Last Update Date : 12/10/2025

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Directions to “ CHRIS PROMPRASERT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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