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NPI Code Detail

MEDICARE: DR. STELLA SUK-YEE KWONG M.D.

MEDICARE:  DR. STELLA SUK-YEE KWONG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG0748TX

General Provider Information

NPI Number : 1003092644
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STELLA SUK-YEE KWONG M.D.
Provider Business Mailing Address
First Line : 2825 BELT LINE RD
Second Line : SUITE 103
City : GARLAND
State : TX
Zip : 75044-7011
Country : US
Telephone Number : 972-530-5550
Fax Number : 972-530-3632
Provider Business Practice Location Address
First Line : 2825 BELT LINE RD
Second Line : SUITE 103
City : GARLAND
State : TX
Zip : 75044-7011
Country : US
Telephone Number : 972-530-5550
Fax Number : 972-530-3632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2008
Last Update Date : 01/14/2008

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Directions to “ DR. STELLA SUK-YEE KWONG M.D.” Practice Location

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