Provider Demographics
NPI:1801183777
Name:KWON, HYOJIN (MD)
Entity Type:Individual
Prefix:DR
First Name:HYOJIN
Middle Name:
Last Name:KWON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HYOJIN
Other - Middle Name:
Other - Last Name:CHONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5156 VILLAGE CREEK DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4495
Mailing Address - Country:US
Mailing Address - Phone:972-735-7900
Mailing Address - Fax:972-735-7902
Practice Address - Street 1:5156 VILLAGE CREEK DR
Practice Address - Street 2:SUITE 102
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4495
Practice Address - Country:US
Practice Address - Phone:972-735-7900
Practice Address - Fax:972-735-7902
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP9082207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine