Provider Demographics
NPI:1093072647
Name:CHRISTINE V. KU, MD, PLLC
Entity Type:Organization
Organization Name:CHRISTINE V. KU, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:V
Authorized Official - Last Name:KU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-618-2802
Mailing Address - Street 1:3880 PARKWOOD BLVD
Mailing Address - Street 2:SUITE 403
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-1928
Mailing Address - Country:US
Mailing Address - Phone:214-618-2012
Mailing Address - Fax:214-618-3208
Practice Address - Street 1:3880 PARKWOOD BLVD
Practice Address - Street 2:SUITE 403
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-1928
Practice Address - Country:US
Practice Address - Phone:214-618-2012
Practice Address - Fax:214-618-3208
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-20
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5944207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty