Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | K9567 | TX |
Y | 207RP1001X | Pulmonary Disease | K9567 | TX |
N | 207RS0012X | Sleep Medicine | K9567 | TX |
NPI | 1043311806 |
---|---|
Provider Name | Song M Hong |
First Address | Argyle, TX 76226-1451 |
Second Address | Argyle, TX 76226-1451 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 19/10/2021 |