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Contact Information

PETER C KWONG, MD1
1600 CENTRAL DR
SUITE 200
BEDFORD, TX76022
 Phone: 817-399-9997
 Fax: 817-399-0694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PETER C KWONG · (Male)

NPI Number 1508977851
Status Active
Credentials MD1
Entity Individual
Enumeration date 08/31/2006
Last updated 04/29/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • TX License # J9144
  • TX Medicaid 113538602
  • TX Other 2285320 AETNA
  • TX Other 008EK BLUECROSSBLUESHIELD
  • TX Other 8215807004 CIGNA
  • TX Other 0154920267 PACIFICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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