Organization
HEAD & NECK SURGERY OF NORTH TEXAS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R KANG MD, DDS, MS, FACS (OWNER)
(917) 331-4516
Entity
Organization
Contact information
Practice address
1411 N BECKLEY AVE, PAVILION III, SUITE 152, DALLAS, TX 75203-1259
(469) 713-2038
(214) 948-0156
Mailing address
1411 N BECKLEY AVE, PAVILION III, SUITE 152, DALLAS, TX 75203-1259
(917) 331-4516
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
P8484
TX
2086X0206X
Surgical Oncology Physician
Primary
P8484
TX
Other
Enumeration date
01/22/2016
Last updated
05/26/2016
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