Indavong P Phonasa (NPI# 1912356130, PAC ID# 5395038095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912356130 |
| PAC ID by PECOS | 5395038095 |
| Professional Enrollment ID | I20160718001921 |
| Full Name | Indavong P Phonasa |
| Organization Legal Name | PALO PINTO COUNTY HOSPITAL DISTRICT |
| Address |
202 Sw 25th Ave 300 Palo Pinto General Hospital Mineral Wells TX 76067-8242 |
| Phone Number | 9403286521 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5890602759 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450565 | PALO PINTO GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 | 9403286521 | PALO PINTO COUNTY HOSPITAL DISTRICT |
| Organization Legal Name | PALO PINTO COUNTY HOSPITAL DISTRICT |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren E Rexroat | Nurse Practitioner | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Krista L Strawser | Nurse Practitioner | Palo Pinto County Hospital District | 13965 S Fm, 4 Palo Pinto General Hospital, Santo, TX 76472-3436 |
| Jeffrey H White | Certified Registered Nurse Anesthetist | Palo Pinto County Hospital District | 400 Sw25th Ave, Mineral Wells, TX 76067-8246 |
| Christy Lynn Kerr | Family Medicine | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Linda N White | Certified Registered Nurse Anesthetist (crna) | Palo Pinto County Hospital District | 400 Sw 25th Ave, Palo Pinto General Hospital, Mineral Wells, TX 76067-8246 |
| Katarina Lindley | Family Medicine | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Deborah K Vines Lowe | Certified Registered Nurse Anesthetist (crna) | Palo Pinto County Hospital District | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Kristin D Kuhn | Certified Registered Nurse Anesthetist (crna) | Palo Pinto County Hospital District | 400 Sw 25th Ave, Palo Pinto General Hospital, Mineral Wells, TX 76067-8246 |
| Lillard L Hill | Certified Registered Nurse Anesthetist (crna) | Palo Pinto County Hospital District | 400 Sw 25th Ave, Mineral Wells, TX 76067-8246 |
| Carla J Hay Perdue | Nurse Practitioner | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Street Address |
202 SW 25TH AVE 300 PALO PINTO GENERAL HOSPITAL |
| City | MINERAL WELLS |
| State | TX |
| Zip | 76067-8242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lauren E Rexroat | Nurse Practitioner | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Christy Lynn Kerr | Family Medicine | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Katarina Lindley | Family Medicine | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Carla J Hay Perdue | Nurse Practitioner | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Maria C Cantu | Nurse Practitioner | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Heather G Walsh | Obstetrics/gynecology | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Kimberly A Babb | Nurse Practitioner | Palo Pinto County Hospital District | 202 Sw 25th Ave, 300 Palo Pinto General Hospital, Mineral Wells, TX 76067-8242 |
| Michael G Browne | Orthopedic Surgery | 202 Sw 25th Ave, Suite 1300, Mineral Wells, TX 76067-8242 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa M Pray | Chiropractic | 409 W Hubbard, Mineral Wells, TX 76067-4846 | |
| Eric R Brock | Orthopedic Surgery | 715 W Hubbard St, Mineral Wells, TX 76067-4852 | |
| Chris Erwin | Nurse Practitioner | 109 Nw 2nd St, Mineral Wells, TX 76067-4940 | |
| Patrick W Hisel | Family Medicine | Patrick W Hisel, Md, Pa | 101 Holly Hill Rd, Mineral Wells, TX 76067-5043 |
| Daniel L Cottrell | Physician Assistant | Patrick W Hisel, Md, Pa | 101 Holly Hill Rd, Mineral Wells, TX 76067-5043 |
| Michael J Gremminger | Physical Therapy | 711 Sw 1st St, Mineral Wells, TX 76067-5117 | |
| Alice Ramsey | Family Medicine | 108 Sw 6th Ave, Mineral Wells, TX 76067-5151 | |
| Gail C Brothers | Psychologist, Clinical | 103 Sw 7th Ave, Mineral Wells, TX 76067-5164 | |
| John E Lockyer | Podiatry | 505 Sw 1st St, Mineral Wells, TX 76067-5207 | |
| Janardhana P Reddy | Thoracic Surgery | 400 S E 1st St B, Mineral Wells, TX 76067-5300 | |
| Find all physicians in zip 76067 | |||
| City | MINERAL WELLS |
| Zip Code | 76067 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MINERAL WELLS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Indavong P Phonasa.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.