Mia Kwun Moon is a Family Medicine in Fort Worth, Texas. Mia Kwun Moon practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mia Kwun Moon is 1568417509. The last update date is 2013-04-17.
Mia Kwun Moon's current location address is 3736 Clarke Ave, Fort Worth, Texas. You can contact this provider via phone number 9515388081. The mailing address for Mia Kwun Moon is 3736 Clarke Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mia Kwun Moon |
|---|---|
| Address | 3736 Clarke Ave, Fort Worth, Texas |
| Phone Number | 9515388081 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D/ |
NPI Number Detail
| NPI Number | 1568417509 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2013-04-17 |
Provider Mailing Address Detail
| Address | 3736 Clarke Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761072634 |
| Phone Number | 9515388081 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A62310 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A623100 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mia Kwun Moon by the Centers for Medicare & Medicaid Services?
The Mia Kwun Moon has been issued the NPI (National Provider Identifier) 1568417509. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mia Kwun Moon's facilities are geographically located?
The facilities of Mia Kwun Moon are physically situated at the following location: 3736 Clarke Ave, Fort Worth, TX, 761072634.
What is the Mia Kwun Moon's area of specialization and corresponding taxonomy classification?
The Mia Kwun Moon's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1568417509 to Mia Kwun Moon?
The Mia Kwun Moon received its 1568417509 assignment from the Centers for Medicare & Medicaid Services on 2006-05-24.
As of what date were the details related to Mia Kwun Moon most recently updated or revised?
The information pertaining to Mia Kwun Moon, including its address, specialty, and other relevant details, was last updated or revised on 2013-04-17.
NPI Number: 1215930425
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