Search › Texas › 207Q00000X
Chanida Supavong, DO
NPI 1750672218 · on the registry since 2011
Practice
- Address
- 5450 Clearfork Main St Ste 460
Fort Worth, TX 76109 - Phone
- (817) 423-5121
- Fax
- (817) 423-5122
- Organisation at this address
- Emp Of Ft Worth Pllc
Clinic 21 Of Ft. Worth, Llc
Usmd Diagnostic Services, Llc
Medical Clinic Of North Texas Pllc
Lone Star Arthritis And Rheumatology Associates PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 41
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas