Individual ProviderPitchaporn YingchoncharoenStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th St # Ms 9410, Lubbock, TX 79430-0001(806) 743-6840PECOS EnrollmentBased on the most recent information from CMS, provider Pitchaporn Yingchoncharoen 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 ID1659003051Provider TypeIndividualFull NameYingchoncharoen, PitchapornCredentialMDGenderFemaleSole ProprietorYesEnumeration Date6/26/2022Last Updated6/26/2022Contact InformationPractice LocationPractice Address3601 4th St # Ms 9410, Lubbock, TX 79430-0001Phone(806) 743-6840Fax(806) 743-3143Mailing LocationMailing Address3601 4th St # Ms 9410, Lubbock, TX 79430-0001Phone(806) 743-6840Fax(806) 743-3143Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer