Individual
DR. ERIK C KOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3410 WORTH ST, SAMMONS CANCER CENTER GYNECOLOGIC ONCOLOGY, DALLAS, TX 75246-2003
(214) 370-1300
(214) 370-1313
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
L0349
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183255201
—
TX
05
—
183255202
—
TX
05
—
200215630A
—
OK
05
—
47078557540
—
NE
01
—
8W0434
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/05/2006
Last updated
09/01/2011
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