Healthcare Provider Details

I. General information

NPI: 1568372753
Provider Name (Legal Business Name): CHAMCHUREE KAENGRAENG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

934 W NOLANA LOOP
PHARR TX
78577-8340
US

IV. Provider business mailing address

1405 W FIG AVE APT 4
PHARR TX
78577-4948
US

V. Phone/Fax

Practice location:
  • Phone: 956-371-9485
  • Fax:
Mailing address:
  • Phone: 956-371-6194
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: