Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jenney Vongprathoum, MD

Individual provider Family Medicine Physician · NPI 1164004693

Jenney Vongprathoum, MD is a Family Practice in Kyle, Texas. Graduated from Louisiana State University School of Medicine in New Orleans in 2021, 5 years ago. Practices with Austin Regional Clinic PA, a 397-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Trained at
Louisiana State University School of Medicine in New Orleans
Licensed in
TX
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

22420 Ih 35 Ste 203
Kyle, TX 78640-2656
Phone: (737) 404-0347
Fax: (512) 406-6295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence V0573 (TX)

Record details

NPI number1164004693
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 23, 2021
Last updated in NPPESJune 18, 2024
Certification dateJune 18, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduated 2021 (5 years in practice)
Group practice Austin Regional Clinic Pa — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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