Individual
PHAPHONE CHANTHACHONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
7845 HIGHTOWER DR, NORTH RICHLAND HILLS, TX 76182-3402
(214) 529-6765
Mailing address
7845 HIGHTOWER DR, NORTH RICHLAND HILLS, TX 76182-3402
(214) 529-6765
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1086858
TX
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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