Indavong Phonasa, FNP-C is a family nurse practitioner in Odessa, TX with 8 years of experience. Indavong Phonasa, FNP-C NPI is 1912356130. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
605 E 4TH ST
ODESSA, TX
ZIP 79761-100
Phone: (432) 337-4347
The NPI 1912356130 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/8/2016 and was last updated on 6/8/2016.