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Organization
JENNIFER S. KWAK, M.D.,P.A.
Active
Organization
JENNIFER S. KWAK, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER SOOHYUN KWAK M.D. (OWNER)
(281) 304-5100
Entity
Organization
Contact information
Practice address
15040 FAIRFIELD VILLAGE SQUARE DR, SUITE 150, CYPRESS, TX 77433-5952
(281) 304-5100
(281) 304-5191
Mailing address
15040 FAIRFIELD VILLAGE SQUARE DR, SUITE 150, CYPRESS, TX 77433-5952
(281) 304-5100
(281) 304-5191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L4029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NPI 1427045145
NPI FOR PRIVATE PRACTICE
TX
Enumeration date
02/16/2007
Last updated
09/20/2007
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