NPI Code Details Logo

NPI 1588703524

NPI 1588703524 : SHWOL-HUO D. KIANG DO : CEDAR PARK, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588703524
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    SHWOL-HUO D. KIANG DO
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/06/2007
-----------------------------------------------------
    Last Update Date     |    04/18/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1401 MEDICAL PKWY STE 200 
-----------------------------------------------------
    City                 |    CEDAR PARK
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78613-5026
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-260-1581
-----------------------------------------------------
    Fax                  |    512-406-7309
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6210 E HWY 290 
-----------------------------------------------------
    City                 |    AUSTIN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78723-1142
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    512-483-9596
-----------------------------------------------------
    Fax                  |    512-406-6216
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207N00000X
-----------------------------------------------------
    Taxonomy Name        |    Dermatology Physician
-----------------------------------------------------
    License Number       |    132006
-----------------------------------------------------
    License Number State |    NM
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207N00000X
-----------------------------------------------------
    Taxonomy Name        |    Dermatology Physician
-----------------------------------------------------
    License Number       |    M6234
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.