MR. Ken Thomas Vongsavath, PAC

NPI #1851466650 in Ft Stockton, Texas

Provider Information

NPI Number: 1851466650
Entity Type: Individual
Name: MR. Ken Thomas Vongsavath, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: PAC
Enumeration Date: Nov 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2071 N MAIN ST
City: Ft Stockton
State: Texas
ZIP Code: 79735
Phone: (432) 336-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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