Souksavanh Phanthavong, PA-C
NPI 1619222874 · Physician Assistant · Flower Mound, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Souksavanh Phanthavong, PA-C is a Physician Assistant provider in Flower Mound, TX (NPI 1619222874).
Provider details
- NPI number
- 1619222874
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA07876 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 941 E Park Row DrArlington, TX 76010-4508Phone: (817) 522-0221
Registry dates
- Enumerated
- 2012-07-13
- Last updated
- 2025-08-12
- Certified
- 2025-08-12
Frequently asked questions
- What is Souksavanh Phanthavong's NPI number?
- Souksavanh Phanthavong's National Provider Identifier (NPI) is 1619222874, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Souksavanh Phanthavong's specialty?
- Souksavanh Phanthavong is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Souksavanh Phanthavong located?
- Souksavanh Phanthavong's practice location on file with NPPES is 4001 Long Prairie Rd Ste 125, Flower Mound, TX 75028-1532.
- What is Souksavanh Phanthavong's phone number?
- The practice phone number listed in the NPPES registry for Souksavanh Phanthavong is (972) 539-3030.
- Does Souksavanh Phanthavong accept Medicare?
- Souksavanh Phanthavong is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Souksavanh Phanthavong's NPI active?
- Yes — Souksavanh Phanthavong's NPI (1619222874) is active in the NPPES registry as of the last update on 2025-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.