MEDICARE: CHRISTOPHER C KWON MD

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
1	207P00000X	Emergency Medicine Physician	48672	MN
2	207P00000X	Emergency Medicine Physician	N0192	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467469015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER C KWON MD

Provider Business Mailing Address
First Line	:	16000 SOUTHWEST FWY
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2673
Country	:	US
Telephone Number	:	281-277-0911
Fax Number	:

Provider Business Practice Location Address
First Line	:	16000 SOUTHWEST FWY
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2673
Country	:	US
Telephone Number	:	281-277-0911
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	11/22/2010

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Directions to “ CHRISTOPHER C KWON MD” Practice Location

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