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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KOBE PHETNAVONG

Active Sole Proprietor

KOBE PHETNAVONG is a 171WV0202X healthcare provider located in HOUSTON, Texas. NPI 1841094505 is currently active in the NPPES registry. Verify at CMS.

171WV0202X · HOUSTON, TX

Registration Details

NPI Number
1841094505
Provider Type
Individual
Gender
Male
NPI Issued
Apr 2, 2025 (1.4060115444956 yrs)
Last Updated
Apr 2, 2025
Sole Proprietor
Yes

Practice Information

Address
14655 US 290 FRONTAGE RD STE 102C
HOUSTON, TX, 77040
Browse TX providers · Browse ZIP 77040
Phone
8329084044
Primary Specialty
171WV0202X
171WV0202X

Other 171WV0202X Providers in HOUSTON, TX

Name Credential NPI
VRISELDA VALDEZ 1912336371
DESHONA MELVIN 1750785689
GBENGA PETER JOHNSON 1417675182
KEHINDE D ADURALERE 1528774973
JADA MARIE JONES 1679385017
LERISSA DEANN SANDERS-JEFFERSON 1104623990
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.