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Individual
MR. ASHLEY THOMAS PHONGSY
Active
Individual
MR. ASHLEY THOMAS PHONGSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
759937
TX
363L00000X
Nurse Practitioner
Primary
AP127220
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP127220
TX
Other
Enumeration date
01/20/2015
Last updated
05/13/2026
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