Provider Demographics
NPI:1649407453
Name:KUO, EMILY SAMANTHA (DO)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:SAMANTHA
Last Name:KUO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:3267 BEE CAVES RD STE 107-286
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6700
Mailing Address - Country:US
Mailing Address - Phone:512-772-1752
Mailing Address - Fax:512-772-1753
Practice Address - Street 1:5656 BEE CAVES RD STE J201
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5809
Practice Address - Country:US
Practice Address - Phone:512-772-1752
Practice Address - Fax:512-772-1753
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN02003826A207R00000X
TXQ5460207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine