Provider Demographics
NPI:1720423510
Name:HWANG, JASON H (DO)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:H
Last Name:HWANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1000 E 1ST ST STE 203
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-2297
Mailing Address - Country:US
Mailing Address - Phone:218-249-6450
Mailing Address - Fax:218-249-6451
Practice Address - Street 1:1810 MURCHISON DRIVE
Practice Address - Street 2:STE 104
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-2906
Practice Address - Country:US
Practice Address - Phone:281-888-8999
Practice Address - Fax:281-305-4054
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2023-02-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV33062086S0129X
MN682402086S0129X
TXU02452086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery