Precha Suvunrungsi, M.D. PA

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

E0159 Issued in TX

Legal business name

PRECHA SUVUNRUNGSI, M.D. PA

Practice address

2109 S Clear Creek Rd
Killeen, TX 76549-4110

Phone

(254) 526-6604

NPI assigned

May 10, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Precha Suvunrungsi, M.D.

Title

Physician

Phone

(254) 526-6604

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1194017145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 S CLEAR CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 S CLEAR CREEK RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494110",
            "telephone_number": "254-526-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECHA SUVUNRUNGSI, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "SUVUNRUNGSI",
        "authorized_official_first_name": "PRECHA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "254-526-6604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "E0159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110432502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Potter
• Lynne Powell, MS, CCC/SLP
• Takeyra Lashon Powell
• Anne Monica Powers, LPC
• Angela Pranada
• Areyonia Prejean, RBT
• Antenisha R Prelow
• Prescription Pharmacy Inc
• Present Peace PLLC
• Pretty Hustler Sales LLC

• Preferred Provider Organization in Killeen, TX
• Providers in Killeen, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.