Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Souksavanh Lisa Phanthavong, PA-C

Individual provider Physician Assistant · NPI 1619222874

Souksavanh Lisa Phanthavong, PA-C is a Physician Assistant in Flower Mound, Texas. Qualified in 2012, 14 years ago. Practices with Topcare Medical Group Inc, a 74-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
14
Licensed in
TX
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4001 Long Prairie Rd Ste 125
Flower Mound, TX 75028-1532
Phone: (972) 539-3030
Fax: (972) 539-3037
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 941 E Park Row Dr, Arlington, TX 76010-4508 — (817) 522-0221

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA07876 (TX)

Record details

NPI number1619222874
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 13, 2012
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Topcare Medical Group Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Flower Mound