NPI 1174125595

Taeuk Kang, PAC

Practitioner Physician Assistant Coppell, TX

Practice location

Address: 580 S Denton Tap Rd, Coppell, TX 75019-4098
Phone: (972) 462-0762
Mailing address: PO Box 2070, Orange Grove, TX 78372-2070

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA15157 (TX)

Other Physician Assistant providers in Texas →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Registry record

NPI: 1174125595
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Nov 2020
Record last updated: 20 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.