In, Kwang-Il
In, Kwang-Il is an individual health care provider with primary practice located at 3201 S Austin Ave Ste 210 , Georgetown TX 78626-7639. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. In, Kwang-Il can be contacted via phone (512) 763-4000.Contact Information
Primary practice address
3201 S Austin Ave Ste 210
Georgetown TX 78626-7639
Phone: (512) 763-4000
Fax: (512) 930-4946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | M5239 | Texas |
Profile Details
| NPI number | 1265644975 |
|---|---|
| LBN Legal business name | In, Kwang-Il |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Feb 1st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265644975 | NPPES |
| Texas | MEDICAID | 187675701 |
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