Provider Demographics
NPI:1093154684
Name:CHOTIRATKUL, PLOYPLUN (DC)
Entity Type:Individual
Prefix:DR
First Name:PLOYPLUN
Middle Name:
Last Name:CHOTIRATKUL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5180 BUFFALO SPEEDWAY
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-4215
Mailing Address - Country:US
Mailing Address - Phone:713-490-2225
Mailing Address - Fax:713-490-2226
Practice Address - Street 1:5180 BUFFALO SPEEDWAY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-4215
Practice Address - Country:US
Practice Address - Phone:713-490-2225
Practice Address - Fax:713-490-2226
Is Sole Proprietor?:No
Enumeration Date:2013-06-18
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12376111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor