Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0011X | Interventional Cardiology | BP1-0035731 | TX |
NPI | 1083943344 |
---|---|
Provider Name | Dr. Chung Hoe Khoo |
First Address | Galveston, TX 77555-0553 |
Second Address | Galveston, TX 77555-0553 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2009 |
Last Update Date | 16/12/2009 |