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Gina Inthavong is one of 46 nurse practitioners practicing in North Richland Hills, Texas .
Gina Inthavong practices with DFW Kidney Care Clinic LLC.
Registry record (NPPES)
NPI
1912579301
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
1800 Buckner St Ste C120 Shreveport, LA 71101-4453 (318) 227-8899
Enumerated
Jul 14, 2021
Record last updated
Jul 14, 2021
License states listed
LA
Medicare (CMS)
Enrollment
Medicare-enrolled in LA, 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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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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