Chounlamany, Phuong-Thao Kristy
Chounlamany, Phuong-Thao Kristy is an sole proprietor health care provider with primary practice located at 2705 Prince George Ave , Desoto TX 75115-2045. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Chounlamany, Phuong-Thao Kristy can be contacted via phone (972) 780-0480.Contact Information
Primary practice address
2705 Prince George Ave
Desoto TX 75115-2045
Phone: (972) 780-0480
Fax: (972) 780-1453
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA05473 | Texas |
Profile Details
NPI number | 1871877209 |
---|---|
LBN Legal business name | Chounlamany, Phuong-Thao Kristy |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2011 |
Last updated | Sep 22nd, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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