Healthcare Provider Details

I. General information

NPI: 1235510439
Provider Name (Legal Business Name): NANCY KUO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2015
Last Update Date: 03/11/2022
Certification Date: 12/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 E 15TH ST
AUSTIN TX
78701-1930
US

IV. Provider business mailing address

601 E 15TH ST UT AUSTIN DELL MEDICAL SCHOOL INTERNAL MEDICINE
AUSTIN TX
78701-1930
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-7000
  • Fax:
Mailing address:
  • Phone: 512-324-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberS3010
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: