MEDICARE: DR. ANGEL K HONG D.C.

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	111N00000X	Chiropractor	038011297	IL

General Provider Information

NPI Number	:	1851538755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGEL K HONG D.C.

Provider Business Mailing Address
First Line	:	921 NE 13TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5007
Country	:	US
Telephone Number	:	580-585-5600
Fax Number	:

Provider Business Practice Location Address
First Line	:	4303 PITMAN ST
Second Line	:
City	:	FORT SILL
State	:	OK
Zip	:	73503-4473
Country	:	US
Telephone Number	:	580-585-5600
Fax Number	:

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

Provider Enumeration Date	:	01/14/2009
Last Update Date	:	11/27/2023

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