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Organization
YUE-KONG AU MD LLC
Active
Organization
YUE-KONG AU MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUE KONG AU MD (OWNER/PRACTITIONER)
(318) 742-3399
Entity
Organization
Contact information
Practice address
2539 VIKING DR, STE 103, BOSSIER CITY, LA 71111-1611
(318) 742-3399
Mailing address
2539 VIKING DR, STE 103, BOSSIER CITY, LA 71111-1611
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1370096
—
LA
Enumeration date
10/02/2012
Last updated
10/02/2012
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