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Individual

CHRISTINE V KU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5757 WARREN PKWY, # 200, FRISCO, TX 75034-4274
(214) 618-7100
(214) 618-7101
Mailing address
5757 WARREN PKWY, # 200, FRISCO, TX 75034-4274
(214) 618-7100
(214) 618-7101

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
39348
KY
207V00000X
Obstetrics & Gynecology Physician
Primary
L5944
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000375240
ANTHEM - CMA
KY
01
000023025Q
HUMANA - CMA
KY
01
1227035
CHA - CMA
KY
01
200871220
MDWISE - CMA
KY
05
200871220
IN
01
2666619000
PASSPORT ADVTG - CMA
KY
01
50009103
PASSPORT
KY
01
6183852
CIGNA - CMA
KY
05
64112063
KY
01
L5944
STATE LICENSE
TX
01
P00365857
MCR - RR
KY
Enumeration date
04/20/2006
Last updated
06/21/2011
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