Healthcare Provider Details

I. General information

NPI: 1386087724
Provider Name (Legal Business Name): ANDERSON HOUYUN KUO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST
BOSTON MA
02115-6110
US

IV. Provider business mailing address

8300 FLOYD CURL DR FL 3
SAN ANTONIO TX
78229-3931
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-6499
  • Fax:
Mailing address:
  • Phone: 210-450-6000
  • Fax: 210-450-6075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberR0438
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number273860
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: