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NPI Code Detail

MEDICARE: YU-JIE 'JACK' KUO M.D.,P.A.

MEDICARE: YU-JIE 'JACK' KUO M.D.,P.A.
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
1173000000XLegal MedicineJ95888TX

General Provider Information

NPI Number : 1881778157
Entity Type Code : Organization
Provider Name (Legal Business Name) : YU-JIE 'JACK' KUO M.D.,P.A.
Provider Business Mailing Address
First Line : 1356 E WALNUT ST
Second Line :
City : SEGUIN
State : TX
Zip : 78155
Country : US
Telephone Number : 830-372-5588
Fax Number :
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 :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. YU-JIE J KUO
Credential : M.D.,
Telephone Number : 830-372-5588
Provider Enumeration Date : 10/24/2006
Last Update Date : 07/23/2008

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Directions to “YU-JIE 'JACK' KUO M.D.,P.A. ” Practice Location

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