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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457921744

Sutasinee Nithisoontorn is a Student in an Organized Health Care Education/Training Program in Mercedes, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2810 W Expressway 83
Mercedes, TX 78570-9704
Phone: (616) 893-8475
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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 U8785 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457921744
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2021
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024

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