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Individual

DR. SIMEON MINGTACK KWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
2505 N STATE HIGHWAY 360 STE 200, GRAND PRAIRIE, TX 75050-7838
(844) 232-0500
(844) 249-5579
Mailing address
2505 N STATE HIGHWAY 360 STE 200, GRAND PRAIRIE, TX 75050-7838
(844) 232-0500
(844) 249-5579

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P4880
TX
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
008714
AZ
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
104072
MT
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
12603369-1204
UT
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
126216
AK
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
20658
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
307102
LA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
CDR.0000536
CO
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
CL0088
NV
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
DO200808
OR
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
DO2021-0022
NM
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
OP61036685
WA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
P4880
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
348533602
TX
Enumeration date
07/12/2011
Last updated
01/23/2026
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