Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Indavong Phonasa, FNP-C

Individual provider Family Nurse Practitioner · NPI 1912356130

Indavong Phonasa, FNP-C is a Nurse Practitioner in Odessa, Texas. Qualified in 2016, 10 years ago. Practices with Palo Pinto County Hospital District, a 38-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Licensed in
TX
In the registry since
2016
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

605 E 4th St
Odessa, TX 79761-5100
Phone: (432) 337-4347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP131078 (TX)

Record details

NPI number1912356130
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 8, 2016
Last updated in NPPESJune 8, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Palo Pinto County Hospital District — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Odessa