Riverside Healthcare Clinic

LBN: Kin Wong, D.O., Pa
Riverside Healthcare Clinic is an health care organization with primary practice located at 2327 N Riverside Dr , Fort Worth TX 76111-2904. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Kin Wong, D.O., Pa can be contacted via phone (817) 834-1655, or through Wong, Kin Sing via phone (817) 834-1655.

Contact Information

Primary practice address
2327 N Riverside Dr Fort Worth TX 76111-2904
Fax:
Website:
Authorized official contact:
Name: Wong, Kin Sing Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X K9458 Texas

Profile Details

NPI number 1972771319
LBN Legal business name Kin Wong, D.O., Pa
DBA Doing business as Riverside Healthcare Clinic
Authorized official Wong, Kin Sing Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2008
Last updated Sep 5th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972771319 NPPES
Texas MEDICAID 164487401

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