Wanpen Vongpatanasin, MD
Internal Medicine, Cardiovascular Disease in Dallas, TX. Individual provider (NPI-1).
NPI number1174592679
StatusActive
Last updated in NPPESDec 7, 2017
Details
- NPI
- 1174592679
- Entity type
- Individual (NPI-1)
- Name
- Wanpen Vongpatanasin
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2006
- Last updated
- Dec 7, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CARDIOVASCULAR DISEASE (CARDIOLOGY)
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | J8161 | TX | Yes |
| 207RH0005X | Internal Medicine, Hypertension Specialist | J8161 | TX |
Practice location
5323 Harry Hines BlvdDallas, TX 75390-7208
Phone 214-645-2888 · Fax 214-648-3063
Mailing address
Po Box 845347Dallas, TX 75284-5347
Phone 214-645-2888 · Fax 214-648-3063
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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