Provider Demographics
NPI:1508566589
Name:HWANG, SEONWOOK (MAT)
Entity Type:Individual
Prefix:
First Name:SEONWOOK
Middle Name:
Last Name:HWANG
Suffix:
Gender:M
Credentials:MAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5706 COYOTE CALL CT
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-0032
Mailing Address - Country:US
Mailing Address - Phone:713-854-5860
Mailing Address - Fax:
Practice Address - Street 1:4800 CALHOUN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77204-2610
Practice Address - Country:US
Practice Address - Phone:713-743-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer