Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUKSAVANH LISA PHANTHAVONG, PA-C
ActiveSOUKSAVANH LISA PHANTHAVONG, PA-C is a Physician Assistant healthcare provider located in FLOWER MOUND, Texas. NPI 1619222874 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FLOWER MOUND, TX
Registration Details
- NPI Number
- 1619222874
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 13, 2012 (14.086969100902 yrs)
- Last Updated
- Aug 12, 2025
- License
-
PA07876 (TX)
Practice Information
- Address
-
4001 LONG PRAIRIE RD STE 125FLOWER MOUND, TX, 750281532Browse TX providers · Browse ZIP 75028
- Phone
- 9725393030
- Fax
- 9725393037
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FLOWER MOUND, TX
| Name | Credential | NPI |
|---|---|---|
| SCOTT MARTZ | PA-C | 1861485294 |
| MELISSA E GARCIA | PHYSICIAN ASSISTANT | 1205801230 |
| MICHELE HAMPTON | PA | 1508886151 |
| JOSE R RODRIGUEZ | P.A. | 1437254679 |
| HILARY LANE BATES | PA-C | 1952494981 |
| ANGELICA YBANEZ BENNETT | PA | 1174647259 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.