Chanida K Supavong, DO
Chanida K Supavong, DO is a Family Medicine Physician in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2011.
- Licensed in
- TX
- In the registry since
- 2011
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.
Practice location Address checks out
5450 Clearfork Main St Ste 460Fort Worth, TX 76109
Phone: (817) 423-5121
Fax: (817) 423-5122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence P5896 (TX) |
|---|
Record details
| NPI number | 1750672218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | May 2, 2011 |
| Last updated in NPPES | July 25, 2018 |
| Mailing address | 5450 Clearfork Main St Ste 460, Fort Worth, TX 76109-3560 |
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