Individual
JAMIE HAWOON KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3051 CHURCHILL DR STE 130, FLOWER MOUND, TX 75022-2710
(972) 539-0086
(972) 355-9680
Mailing address
3051 CHURCHILL DR STE 130, FLOWER MOUND, TX 75022-2710
(972) 539-0086
(972) 355-9680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA062033
PA
363A00000X
Physician Assistant
Primary
PA14838
TX
Other
Enumeration date
02/02/2021
Last updated
08/22/2024
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