Phayungpong, Mattana
Phayungpong, Mattana is an individual health care provider with primary practice located at 2606 Hospital Blvd , Corpus Christi TX 78405-1833. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Phayungpong, Mattana can be contacted via phone (361) 902-4789.Contact Information
Primary practice address
2606 Hospital Blvd
Corpus Christi TX 78405-1833
Phone: (361) 902-4789
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | W3595 | Texas |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | W3595 | Texas |
Profile Details
| NPI number | 1245970326 |
|---|---|
| LBN Legal business name | Phayungpong, Mattana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2022 |
| Last updated | Jun 24th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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