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Individual

CHRISTOPHER C KWON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-2000
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
32875
AZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME133782
FL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
R6223
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100793000
FL
05
866014
AZ
01
NE923
MEDICARE HF
FL
Enumeration date
06/21/2006
Last updated
02/03/2021
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