Individual
BIN KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3509 DURANGO ROOT CT, FORT WORTH, TX 76244-1157
(682) 560-8066
Mailing address
3509 DURANGO ROOT CT, FORT WORTH, TX 76244-1157
(682) 560-8806
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC02006
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
066-297-327
GREEN CARD
—
Enumeration date
03/24/2021
Last updated
09/10/2021
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