Provider Demographics
NPI:1851897433
Name:KHO, HYUN YOUNG (DPM)
Entity Type:Individual
Prefix:
First Name:HYUN YOUNG
Middle Name:
Last Name:KHO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 TOWN SQUARE BLVD
Mailing Address - Street 2:STE 200. PMB 418
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-2991
Mailing Address - Country:US
Mailing Address - Phone:469-443-4070
Mailing Address - Fax:
Practice Address - Street 1:675 TOWN SQUARE BLVD
Practice Address - Street 2:STE 200. PMB 418
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-2991
Practice Address - Country:US
Practice Address - Phone:469-443-4070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3110213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery