Mr Ken Thomas Vongsavath, PAC is a
Family Medicine physician based in Ft Stockton, Texas. Mr Ken Thomas Vongsavath is licensed to practice in Texas (license number PA00172) and his current practice location is 2071 N Main St, Ft Stockton, Texas. He can be reached at his office (for appointments etc.) via phone at
(432) 336-0700.
NPI number for Mr Ken Thomas Vongsavath is 1851466650 and his current mailing address is 313 E Stockton, Alpine, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851466650.
Physician's Profile
| Full Name | Mr Ken Thomas Vongsavath |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2071 N Main St, Ft Stockton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851466650
- Provider Enumeration Date: 11/21/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Ken Thomas Vongsavath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851466650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | PA00172 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ken Thomas Vongsavath is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Ken Thomas Vongsavath, PAC
313 E Stockton,
Alpine, TX 79830
Ph: (432) 837-9188 | Mr Ken Thomas Vongsavath, PAC
2071 N Main St,
Ft Stockton, TX 79735
Ph: (432) 336-0700 |
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