Individual
DR. MI KYUNG KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2727 W HOLCOMBE BLVD, HOUSTON, TX 77025-1669
(713) 442-0000
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
A83307
CA
2085R0001X
Radiation Oncology Physician
Primary
P8489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A833070
—
CA
05
—
338950402
—
TX
Enumeration date
10/05/2006
Last updated
06/09/2021
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