Provider Demographics
NPI:1164400115
Name:KOROMPAI, FERENC LASZLO (MD)
Entity Type:Individual
Prefix:DR
First Name:FERENC
Middle Name:LASZLO
Last Name:KOROMPAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2715 MICHAELS DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-3137
Mailing Address - Country:US
Mailing Address - Phone:254-774-1956
Mailing Address - Fax:254-774-1940
Practice Address - Street 1:2715 MICHAELS DR
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-3137
Practice Address - Country:US
Practice Address - Phone:254-774-1956
Practice Address - Fax:254-774-1940
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD 0936208600000X, 208G00000X
ARR 4660208G00000X
LAMD.03696R208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR146347001Medicaid
AR5M004Medicare ID - Type Unspecified
TX8108K2Medicare ID - Type Unspecified
AR146347001Medicaid