Individual
DONGHWA BAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6565 FANNIN ST, HOUSTON, TX 77030-2703
(713) 441-3490
(713) 793-1178
Mailing address
PO BOX 4701, HOUSTON, TX 77210-4701
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
U1232
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10064572
TX
390200000X
Student in an Organized Health Care Education/Training Program
MT229978
PA
Other
Enumeration date
06/25/2018
Last updated
03/01/2025
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