Nang Immanivong is one of 3,082 nurse practitioners practicing in Houston, Texas .
Nang Immanivong practices with Villagemd Of Southeast Texas PA.
Registry record (NPPES)
NPI
1538567102
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner, Family · 363LF0000X
Address on file
1515 Holcombe Blvd
Enumerated
Dec 15, 2014
Record last updated
Mar 1, 2018
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
8810 Antoine DrHouston , TX 77088
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Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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