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Individual

YE KYUNG SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, PHD

Contact information

Practice address
4131 N CENTRAL EXPY STE 919, DALLAS, TX 75204-2102
(214) 833-6502
Mailing address
3223 S LOOP 289 STE 630, LUBBOCK, TX 79423-1337

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
2025-03339
NC
2084P0800X
Psychiatry Physician
340525
NY
2084P0800X
Psychiatry Physician
Primary
V0181
TX

Other

Enumeration date
03/30/2020
Last updated
11/04/2025
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