Individual
KOBE PHETNAVONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14655 US 290 FRONTAGE RD STE 102C, HOUSTON, TX 77040
(832) 908-4044
Mailing address
14655 US 290 FRONTAGE RD STE 102C, HOUSTON, TX 77040
(832) 908-4044
Taxonomy
Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
Primary
—
TX
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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