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Individual
STEPHEN KHONG
Active
Individual
STEPHEN KHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX5573T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11585
SPECTERA
TX
01
—
918176
BLOCK
TX
01
—
9722729455
VSP
TX
01
—
TX5573
EYEMED
TX
Enumeration date
03/20/2007
Last updated
07/09/2007
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