Provider Demographics
NPI:1033327663
Name:KOO, FELIX CHONG WAH (MD)
Entity Type:Individual
Prefix:DR
First Name:FELIX
Middle Name:CHONG WAH
Last Name:KOO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3750 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-3117
Mailing Address - Country:US
Mailing Address - Phone:210-922-7000
Mailing Address - Fax:830-608-1073
Practice Address - Street 1:1034 W COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-8338
Practice Address - Country:US
Practice Address - Phone:210-922-7000
Practice Address - Fax:830-608-1073
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2019-03-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ 0047208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133412009Medicaid
TX264850YMR2Medicare Oscar/Certification