Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aniraphone Laochareun

Individual provider Physician Assistant · NPI 1093203176

Aniraphone Laochareun is a Physician Assistant in Dallas, Texas. Qualified in 2017, 9 years ago. Practices with Imed Physician Network, Inc, a 46-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2018
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Practice location Address checks out

1251 E Red Bird Ln
Dallas, TX 75241-2008
Phone: (214) 374-0827
Fax: (214) 374-0927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA12000 (TX)

Record details

NPI number1093203176
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 25, 2018
Last updated in NPPESApril 25, 2018
Mailing address1251 E Red Bird Ln, Dallas, TX 75241-2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Imed Physician Network, Inc. — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Dallas