Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | N8806 | TX |
Y | 208600000X | Surgeon | N8806 | TX |
N | 2082S0105X | Plastic Hand Surgeon | N8806 | TX |
NPI | 1215131099 |
---|---|
Provider Name | Robert Kang Kwon |
First Address | Plano, TX 75093-6383 |
Second Address | Plano, TX 75093-6383 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 23/01/2019 |