Phuket City Police were called to the scene, in front of a PTT petrol station, at 5:40am.
Traffic police officers and an ambulance from Vachira Phuket Hospital were dispatched to the scene.
Police and emergency responders arrived to find a white, four-door Isuzu pickup truck registered in Trang, with heavy damage to its front from the impact.
The driver, Thongchai Resan, 37, a loan manager at a bank in Phuket, was found nearby with head and chest injuries from the impact with the steering wheel. He was taken to Vachira Phuket Hospital by medical staff.
The driver of the truck, Ekkachai Mekwongfa, 56, told police that he had parked his 22-wheeler about 4-5am while waiting to go to Thung Song. Around 5am, he heard a loud noise and discovered the accident.
Pol Lt Col Aphairat In-iad documented the scene and took Ekkachai for further questioning, while other officers arranged for both vehicles to be removed from the scene.