Individual
DR. KIN WING AU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 SANTA FE ST, CORPUS CHRISTI, TX 78404-2105
(361) 861-9760
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
L2113
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143534902
—
TX
01
—
1L4788
MEDICARE
TX
01
—
8R1389
BLUE CROSS OF TEXAS
TX
01
—
P02601743
MCRR
TX
Enumeration date
06/04/2006
Last updated
04/08/2021
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