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NPI Code Detail

MEDICARE: YU JIE JACK KUO M.D.

MEDICARE:   YU JIE JACK KUO  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
1207R00000XInternal Medicine PhysicianJ9588TX

General Provider Information

NPI Number : 1841485588
Entity Type Code : Individual
Provider Name (Legal Business Name) : YU JIE JACK KUO M.D.
Provider Business Mailing Address
First Line : 1356 E WALNUT ST
Second Line :
City : SEGUIN
State : TX
Zip : 78155-5126
Country : US
Telephone Number : 830-372-5588
Fax Number : 830-372-5400
Provider Business Practice Location Address
First Line : 1356 E WALNUT ST
Second Line :
City : SEGUIN
State : TX
Zip : 78155-5126
Country : US
Telephone Number : 830-372-5588
Fax Number : 830-372-5400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2007
Last Update Date : 10/18/2024

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Directions to “ YU JIE JACK KUO M.D.” Practice Location

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