Provider Demographics
NPI:1225085137
Name:KUO, DAVID C (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:C
Last Name:KUO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:541 W. MCDERMOTT DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-8033
Mailing Address - Country:US
Mailing Address - Phone:972-727-8070
Mailing Address - Fax:972-727-8031
Practice Address - Street 1:541 W. MCDERMOTT DR
Practice Address - Street 2:SUITE A
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-8033
Practice Address - Country:US
Practice Address - Phone:972-727-8070
Practice Address - Fax:972-727-8031
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-27
Last Update Date:2010-10-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXH9666208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0082GQOtherBLUE CROSS
TX0082GQOtherBLUE CROSS
00485QMedicare ID - Type Unspecified