Registry record
- NPI
- 1619222874
- Profession
- Physician Assistant (PA)
- Specialty
- Physician Assistant (363A00000X)
- Practice address
- 4001 Long Prairie Rd Ste 125
Flower Mound, TX 75028 - Phone
- 9725393030
- In the registry since
- July 13, 2012
- Last NPPES update
- August 12, 2025
- Sole proprietor
- No
- License
- PA07876 (TX)
At this location
One other provider in our data lists 4001 Long Prairie Rd Ste 125, Flower Mound as a practice address:
- Scott Martz, PA-C
Physician Assistant · NPI 1861485294
In context
The NPI number of Souksavanh Phanthavong is 1619222874. They are a Physician Assistant in Flower Mound, Texas.
Souksavanh Phanthavong is one of 45 Physician Assistants in Flower Mound and one of 11,405 across Texas in our data.
The NPI has been in the federal registry for 13 years, since July 13, 2012.
Frequently asked questions
What is NPI 1619222874?
NPI 1619222874 is the 10-digit National Provider Identifier assigned to Souksavanh Phanthavong, a Physician Assistant practicing in Flower Mound, Texas. The record has been in the NPPES registry since July 13, 2012.
How do I verify this provider?
Cross-check NPI 1619222874 in the official CMS registry at npiregistry.cms.hhs.gov, and confirm license PA07876 with the TX licensing board. You can also run the number through our free NPI validator to confirm its checksum.
Is this information current?
This profile reflects the June 2026 NPPES data file. NPPES lists the record's last update as August 12, 2025. We refresh our data each month when CMS publishes a new file.
Data: NPPES public registry, June 2026 file. Not medical advice. Verify independently before care or credentialing decisions. Errors in the source record can be corrected at nppes.cms.hhs.gov; see our corrections page.