Provider Demographics
NPI:1457420457
Name:KWONG, CHI YIN GABRIEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHI YIN
Middle Name:GABRIEL
Last Name:KWONG
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9209 GRANT DR
Mailing Address - Street 2:
Mailing Address - City:ROWLETT
Mailing Address - State:TX
Mailing Address - Zip Code:75088-4479
Mailing Address - Country:US
Mailing Address - Phone:972-475-4511
Mailing Address - Fax:
Practice Address - Street 1:5909 HARRY HINES BLVD.
Practice Address - Street 2:UT SOUTHWESTERN MEDICAL CENTER, PHARMACY
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9236
Practice Address - Country:US
Practice Address - Phone:214-645-1075
Practice Address - Fax:214-645-1074
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254321835N1003X, 1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835N1003XPharmacy Service ProvidersPharmacistNutrition Support
Not Answered1835X0200XPharmacy Service ProvidersPharmacistOncology