Provider Demographics
NPI:1265993554
Name:HK TAEKWONDO INC
Entity type:Organization
Organization Name:HK TAEKWONDO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HYUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-260-0060
Mailing Address - Street 1:1717 SCOTTSDALE DR STE 100D
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78641-4768
Mailing Address - Country:US
Mailing Address - Phone:512-539-0635
Mailing Address - Fax:
Practice Address - Street 1:200 S BELL BLVD STE C2
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2904
Practice Address - Country:US
Practice Address - Phone:512-539-0635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-28
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service