Song, Bo

Song, Bo is an individual health care provider with primary practice located at 6560 Fannin St Ste 1878 , Houston TX 77030-2752. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Song, Bo can be contacted via phone (713) 441-5189.

Contact Information

Primary practice address
6560 Fannin St Ste 1878 Houston TX 77030-2752
Phone: (713) 441-5189
Fax: (713) 441-5189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 2021022115 Missouri
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X T7049 Texas
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X T7049 Texas

Profile Details

NPI number 1427581446
LBN Legal business name Song, Bo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2017
Last updated Mar 7th, 2023 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427581446 NPPES
Missouri MEDICAID 200045307
Missouri Other 1427581446

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