Individual
BOUAPHANE HONGKEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-6660
(214) 456-6696
Mailing address
2300 MESA OAK TRL, PLANO, TX 75025-4721
(214) 280-9267
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04770
TX
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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