Kevan L Wong is a Specialist in Dallas, Texas. Kevan L Wong practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kevan L Wong is 1336144500. The last update date is 2015-11-03.
Kevan L Wong's current location address is 4144 N Central Expy, Dallas, Texas. You can contact this provider via phone number 2148277460 and fax number 2148266858. The mailing address for Kevan L Wong is 4144 N Central Expy, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevan L Wong |
|---|---|
| Address | 4144 N Central Expy, Dallas, Texas |
| Phone Number | 2148277460 |
| Fax Number | 2148266858 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336144500 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2015-11-03 |
Provider Mailing Address Detail
| Address | 4144 N Central Expy |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 7520421560 |
| Phone Number | 2148277460 |
| Fax Number | 2148266858 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | L1243 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8EH854 | TX | BCBS | |
| P01446832 | TX | RR | |
| 40825401 | TX | -- | |
| 40825404 | TX | -- |
Post Comment/ Review Below
What is the Kevan L Wong's unique identification number?
The Kevan L Wong has been assigned the NPI (National Provider Identifier) Number 1336144500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kevan L Wong is located?
The Kevan L Wong is situated at the following address: 4144 N Central Expy, Dallas, TX, 7520421560.
What is Kevan L Wong's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Kevan L Wong is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did Kevan L Wong receive its 1336144500 assignment from the Centers for Medicare & Medicaid Services?
The Kevan L Wong was assigned its 1336144500 on 2005-06-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Kevan L Wong, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevan L Wong, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-11-03.
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