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

Individual provider Internal Medicine Physician · NPI 1851090252

Boontharick Sopontammarak, DO is an Internal Medicine Physician in Jbsa Ft Sam Houston, Texas. Licensed in Virginia. Registered with an NPI since 2023.

Licensed in
VA
In the registry since
2023
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3551 Roger Brooke Dr
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 292-7805
Fax: (210) 292-7868
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Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 0102208949 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1851090252
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 24, 2023
Last updated in NPPESJune 7, 2026
Certification dateJune 7, 2026
Mailing address3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504

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