Pornthep Wattanamano


Address: 5509 Cornish St, Houston, TX 77007-4303

Pornthep Wattanamano (NPI# 1295738516, PAC ID# 5193788024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INFECTIOUS DISEASE.

Physician Overview

Nation Provider ID (NPI) 1295738516
PAC ID by PECOS 5193788024
Professional Enrollment ID I20041110001157
Full Name Pornthep Wattanamano
Address 5509 Cornish St
Houston
TX 77007-4303
Gender M
Credential MD
Graduation Year 1988
Primary Specialty INFECTIOUS DISEASE
Secondary Specialties INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
450035 ST JOSEPH MEDICAL CENTER
450184 MEMORIAL HERMANN HOSPITAL SYSTEM

Other Locations

Address Phone Organization
5509 Cornish St, Houston, TX 77007-4303

Organization Information

Office Location

Street Address 5509 CORNISH ST
City HOUSTON
State TX
Zip 77007-4303

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Competitor

Search similar physicians

City HOUSTON
Zip Code 77007
Specialty INFECTIOUS DISEASE
City + Specialty HOUSTON + INFECTIOUS DISEASE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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