Individual
MICK KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
517 HARWOOD RD, BEDFORD, TX 76021-4109
(817) 355-5200
Mailing address
423 CRESTOVER CIR, RICHARDSON, TX 75080-2529
(214) 931-2716
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
9706
TX
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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