Individual provider Active NPI

Suchakorn A Amrung, MD

  • Child & Adolescent Psychiatry Physician
  • San Antonio, TX
National Provider Identifier
1255418919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
G0938 Issued in TX
Practice address
6711 S New Braunfels Ave Ste 100
San Antonio, TX 78223-3002
Phone
(210) 531-7805
Fax
(210) 531-8172
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X G0938 TX Primary

Addresses

Primary practice location

6711 S New Braunfels Ave Ste 100
San Antonio, TX 78223-3002

Mailing address

6711 S New Braunfels Ave Ste 100
San Antonio, TX 78223-3002
Phone (210) 531-7805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G0938TXMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255418919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVE STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233002",
            "telephone_number": "210-531-7805",
            "fax_number": "210-531-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 S NEW BRAUNFELS AVE STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233002",
            "telephone_number": "210-531-7805",
            "fax_number": "210-531-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMRUNG",
        "first_name": "SUCHAKORN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "G0938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.