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Boontharick Sopontammarak, DO

NPI 1851090252 · on the registry since 2023

Practice

Address
3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234
Phone
(210) 292-7805
Fax
(210) 292-7868
Organisation at this address
Saushec
Inferred from a shared address, not stated in the registry.
Clinicians at this address
596

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
390200000X
171000000X
Licence states on file
NULL, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-07

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