Individual ProviderVitchapong PrasitsumritStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th Street, Texas Tech University Health Sciences, Stop 9410, Lubbock, TX 79430(806) 743-2978PECOS EnrollmentBased on the most recent information from CMS, provider Vitchapong Prasitsumrit does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1073304788Provider TypeIndividualFull NamePrasitsumrit, VitchapongTitleMr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/13/2025Last Updated5/13/2025Contact InformationPractice LocationPractice Address3601 4th Street, Texas Tech University Health Sciences, Stop 9410, Lubbock, TX 79430Phone(806) 743-2978FaxUnlisted FaxMailing LocationMailing Address3601 4th Street, Texas Tech University Health Sciences, Stop 9410, Lubbock, TX 79430Phone(806) 743-2978FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer