Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KEN THOMAS VONGSAVATH, PAC
ActiveMR. KEN THOMAS VONGSAVATH, PAC is a Family Medicine healthcare provider located in FT STOCKTON, Texas. NPI 1851466650 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FT STOCKTON, TX
Registration Details
- NPI Number
- 1851466650
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2006 (19.546493042444 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA00172 (TX)
Practice Information
- Address
-
2071 N MAIN STFT STOCKTON, TX, 79735Browse TX providers · Browse ZIP 79735
- Phone
- 4323360700
- Fax
- 4323360704
- Primary Specialty
-
Family Medicine
207Q00000X
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.