Peter Sonephet Phoummavong, DC Valid NPI
Individual provider · Rehabilitation Chiropractor · Frisco, TX
- NPI
- 1437938206
- Type
- Individual (Type 1)
- Primary specialty
- Rehabilitation Chiropractor (Chiropractor)
- Specialty group
- Chiropractic Providers
- Taxonomy code
- 111NR0400X
- License number
- 15714 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-09-21
- Last updated
- 2023-09-21
Practice location
14111 King Rd Ste 410
Frisco, TX 75036-0810
(901) 496-3095