SearchTexas171WV0202X

Kobe Phetnavong

NPI 1841094505 · on the registry since 2025 · sole proprietor

Practice

Address
14655 Us 290 Frontage Rd Ste 102c
Houston, TX 77040
Phone
(832) 908-4044

Registry record

Primary taxonomy
171WV0202X
171WV0202X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas