Young Suk Kwon
General Practice Physician
4000 Autumn Path Rd
Denton
, Texas 76208-7695
Young Suk Kwon
General Practice Physician
4000 Autumn Path Rd
Denton
, Texas 76208-7695
(404) 936-1133
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Young Suk Kwon
- 4000 Autumn Path Rd
- Denton, TX
- Zip : 76208-7695
- Phone : (404) 936-1133
Second Address
- Young Suk Kwon
- 4000 Autumn Path Rd
- Denton, TX
- Zip : 76208-7695
- Phone : (404) 936-1133
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | T3986 | TX |
National Provider Identifier
| NPI | 1043548209 |
|---|---|
| Provider Name | Young Suk Kwon |
| First Address | Denton, TX 76208-7695 |
| Second Address | Denton, TX 76208-7695 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2009 |
| Last Update Date | 16/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.