Healthcare Provider Details

I. General information

NPI: 1225085137
Provider Name (Legal Business Name): DAVID C KUO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 W. MCDERMOTT DR SUITE A
ALLEN TX
75013-8033
US

IV. Provider business mailing address

541 W. MCDERMOTT DR SUITE A
ALLEN TX
75013-8033
US

V. Phone/Fax

Practice location:
  • Phone: 972-727-8070
  • Fax: 972-727-8031
Mailing address:
  • Phone: 972-727-8070
  • Fax: 972-727-8031

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberH9666
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: