Provider Demographics
NPI:1003220195
Name:PARUNGAO, VLADIMIR M (MD)
Entity type:Individual
Prefix:DR
First Name:VLADIMIR
Middle Name:M
Last Name:PARUNGAO
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 1:8302 HERTS RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-6716
Mailing Address - Country:US
Mailing Address - Phone:281-370-1247
Mailing Address - Fax:
Practice Address - Street 1:8302 HERTS RD
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6716
Practice Address - Country:US
Practice Address - Phone:281-370-1247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF1187207ZF0201X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice