Organization
HENRY M KWONG, M.D. A PROF MED CORP
Active
Parent organization
HENRY M. KWONG, M.D. A PROF MEDICAL CORP
Organization subpart
Yes
Provider details
NPI number
Legal business name
HENRY M. KWONG, M.D. A PROF MEDICAL CORP
Authorized official
HENRY MARK KWONG, M.D. SR. M.D. (PRESIDENT)
(337) 367-1247
Entity
Organization
Contact information
Practice address
607 RUE DE BRILLE, NEW IBERIA, LA 70563
(337) 367-1247
(337) 365-7496
Mailing address
607 RUE DE BRILLE, NEW IBERIA, LA 70563
(337) 367-1247
(337) 365-7496
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
012632
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1197980
—
LA
Enumeration date
12/03/2009
Last updated
12/03/2009
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