Wong, Kin S

Wong, Kin S is an sole proprietor health care provider with primary practice located at 2327 N Riverside Dr , Fort Worth TX 76111-2904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is his primary health care specialty. Wong, Kin S can be contacted via phone (817) 834-1655.

Contact Information

Primary practice address
2327 N Riverside Dr Fort Worth TX 76111-2904
Phone: (817) 834-1655
Fax: (817) 834-1659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X K9458 Texas
Ambulatory Health Care Facilities / Urgent Care 261QU0200X K9458 Texas

Profile Details

NPI number 1760440531
LBN Legal business name Wong, Kin S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2006
Last updated Sep 12th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760440531 NPPES
Texas MEDICAID 149752104
Texas MEDICAID 149752106
Texas MEDICAID 149752111
Texas Other 0063LS

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