Organization
NORTH TEXAS EXCEL PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KWON MD (DIRECTOR)
(817) 753-7911
Entity
Organization
Contact information
Practice address
4561 HERITAGE TRACE PARKWAY, FORT WORTH, TX 76244
(817) 753-7911
Mailing address
PO BOX 60962, CORPUS CHRISTI, TX 78466-0962
(361) 884-2904
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
N0192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N0192
MEDICAL LICENSE
TX
Enumeration date
01/05/2016
Last updated
07/06/2016
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