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INDAVONG P PHONASA, NP

NURSE PRACTITIONER · MINERAL WELLS, TX

Provider

NPI
1912356130
Credential
NP
Primary specialty
NURSE PRACTITIONER
Gender
Male
Medical school
OTHER
Graduation year
2016

Practice

Address
101 HOLLY HILL RD, MINERAL WELLS, TX 760675043
Phone
9404637092
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
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