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General NPI Number Information
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NPI Number | 1700992310
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Entity Type | Individual
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Provider Name | EDWARD LUNG-SHANG KUO M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 01/05/2008
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Provider Practice Location Address
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Address Line | 4602 WASHINGTON AVE SUITE B
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City | HOUSTON
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State | TX
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Zip | 77007-5434
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Country | US
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Telephone | 713-861-5505
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Fax | 713-861-5515
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Provider Business Mailing Address
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Address Line | PO BOX 131165
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City | HOUSTON
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State | TX
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Zip | 77219-1165
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Country | US
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Telephone | 713-851-5505
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Fax | 713-861-5515
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | K5594
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License Number State | TX
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