Provider Demographics
NPI:1598958746
Name:CHUEN K KWOK MS APMC
Entity type:Organization
Organization Name:CHUEN K KWOK MS APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KWOK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-462-1400
Mailing Address - Street 1:316 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:DERIDDER
Mailing Address - State:LA
Mailing Address - Zip Code:70634-4914
Mailing Address - Country:US
Mailing Address - Phone:337-462-1400
Mailing Address - Fax:337-462-0224
Practice Address - Street 1:316 W 7TH ST
Practice Address - Street 2:
Practice Address - City:DERIDDER
Practice Address - State:LA
Practice Address - Zip Code:70634-4914
Practice Address - Country:US
Practice Address - Phone:337-462-1400
Practice Address - Fax:337-462-0224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2010-05-04
Deactivation Date:2008-07-28
Deactivation Code:
Reactivation Date:2010-03-30
Provider Licenses
StateLicense IDTaxonomies
LA10335R174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1989550Medicaid
LA086701689AOtherBLUE CROSS
LA1989550Medicaid