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Individual

HEE-KWANG YOO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, PROVIDER ENROLLMENT -- RT 1022, GALVESTON, TX 77555-5302
(409) 747-0890
(409) 747-1023

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M7777
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00467149
RR MCR PTAN
TX
Enumeration date
10/01/2007
Last updated
05/15/2008
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