DR. KHOMTHORN P CUNVONG (NPI# 1396361580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396361580 |
| Entity Type | Individual |
| Full Name | DR. KHOMTHORN P CUNVONG |
| Credential | DO |
| Practice Address |
3301 Matlock Rd Arlington TX 76015-2908 |
| Practice Telephone | 6825096200 |
| Mailing Telephone | 6825096200 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3301 MATLOCK RD |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76015-2908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417786 | George Wisdom Abatso | Emergency Medicine | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2005-12-07 |
| 1275147944 | Conceptah Luchendo | Nurse Practitioner | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-09-01 |
| 1922621846 | Heran Abiye | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-27 |
| 1669094678 | Allison Jane Walworth | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-13 |
| 1538781539 | Sumeet Kumar Gossain | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-12 |
| 1609498997 | Angela Issa | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-11 |
| 1427670785 | Joedwina Randine Gaston | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-09 |
| 1114549433 | Sahil Patel | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-08 |
| 1083236319 | Jessenia Ariana Contreras | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-08 |
| 1922620368 | Natasha Priya Dyal | Student in an Organized Health Care Education/Training Program | 3301 Matlock Rd, Arlington, TX 76015-2908 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358955 | Shavon Ohiomu | Licensed Vocational Nurse | 3402 Timberwood Circle Apt 2130, Arlington, TX 76015 | 2018-03-01 |
| 1194235580 | In Balance In Control, L.L.C. | Massage Therapist | 1402 W Mayfield Rd, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1063922458 | Kenneth Eugene Frey II | Massage Therapist | 1402 West Mayfield Road, Suite 420, Arlington, TX 76015 | 2017-10-11 |
| 1285181263 | U S Anesthesia Partners of Texas, Pa | Nurse Practitioner | 800 W Arbrook, Suite 120, Arlington, TX 76015 | 2016-09-07 |
| 1659739365 | Danika Rasmussengeter | Chiropractor | 1216 Florida Dr # 130, Arlington, TX 76015 | 2016-02-09 |
| 1962809541 | Texas Rehabilitation Hospital of Arlington, LLC | Rehabilitation Hospital | 900 West Arbrook Blvd, Arlington, TX 76015 | 2014-11-26 |
| 1528470473 | Felicia Montgomery | Doula | 3903 Melear Drive, Unit 151681, Arlington, TX 76015 | 2014-05-27 |
| 1437572427 | E.s. Drugs Inc. | Pharmacy | 3295 S. Cooper Street #107, Arlington, TX 76015 | 2014-01-27 |
| 1477802890 | James Tra | Pharmacist | 1600 West Arbrook Blvd, Arlington, TX 76015 | 2012-08-30 |
| 1225397912 | Apsp-arlington, LLC | Clinical Medical Laboratory | 1348 W. Mayfield Road, Suite 200, Arlington, TX 76015 | 2012-05-15 |
| Find all providers in zip 76015 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538768726 | Katherine Bailey Smith | Student in an Organized Health Care Education/Training Program | 3535 N Ohio St, Arlington, VA 22207-1337 | 2020-10-20 |
| 1316551906 | Tiny Tots | Student in an Organized Health Care Education/Training Program | 216 Kenosha Ln, Arlington, TX 76002-5433 | 2020-09-01 |
| 1528686011 | Samantha Mendoza | Student in an Organized Health Care Education/Training Program | 715 Valley Vista Rd Apt 2020, Arlington, TX 76006-2121 | 2020-07-10 |
| 1093331860 | Lucy Cao Nguyen | Student in an Organized Health Care Education/Training Program | 2308 Point Star Dr, Arlington, TX 76001-5806 | 2020-06-17 |
| 1013531250 | Alistair Taylor | Student in an Organized Health Care Education/Training Program | Potomac Behavioral Solutions, 2001 Richmond Highway, Suite 800, Arlington, VA 22202 | 2020-06-03 |
| 1043834633 | Hannah Bacon | Student in an Organized Health Care Education/Training Program | 850 N Randolph St Apt 313, Arlington, VA 22203-4004 | 2020-05-30 |
| 1902426083 | Britany Leeann Reierson | Student in an Organized Health Care Education/Training Program | 303 7th Ave Nw, Arlington, MN 55307-9544 | 2020-04-20 |
| 1235758327 | Bradley Cundiff | Student in an Organized Health Care Education/Training Program | 2000 N Adams St Apt 301, Arlington, VA 22201-3721 | 2020-04-09 |
| 1710513759 | Krishna Patel | Student in an Organized Health Care Education/Training Program | 4014 Shady Forge Trl, Arlington, TX 76005-4543 | 2020-03-22 |
| 1255962700 | Dunya Mounir Imad | Student in an Organized Health Care Education/Training Program | 1910 Columbia Pike, Arlington, VA 22204-4628 | 2020-02-03 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.