Provider Demographics
NPI:1346202645
Name:KANG, HYON SIK (DO)
Entity type:Individual
Prefix:DR
First Name:HYON
Middle Name:SIK
Last Name:KANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:11511 SHADOW CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7298
Mailing Address - Country:US
Mailing Address - Phone:713-442-0000
Mailing Address - Fax:
Practice Address - Street 1:21777 MERCHANTS WAY STE 410
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-6883
Practice Address - Country:US
Practice Address - Phone:281-895-2186
Practice Address - Fax:281-895-2187
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3111207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1346202645OtherNPI
TX215114406Medicaid