Kwak, Jennifer Soohyun
Kwak, Jennifer Soohyun is an sole proprietor health care provider with primary practice located at 15040 Fairfield Village Square Dr Suite 150, Cypress TX 77433-5952. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kwak, Jennifer Soohyun can be contacted via phone (281) 304-5100.Contact Information
Primary practice address
15040 Fairfield Village Square Dr Suite 150
Cypress TX 77433-5952
Phone: (281) 304-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L4029 | Texas |
Profile Details
| NPI number | 1427045145 |
|---|---|
| LBN Legal business name | Kwak, Jennifer Soohyun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Sep 20th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427045145 | NPPES |
| Texas | MEDICAID | 159739501 |
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