Individual provider Active NPI

Stella Suk-Yee Kwong, M.D.

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1003092644
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0748 Issued in TX
Practice address
2825 Belt Line Rd
Suite 103
Garland, TX 75044-7011
Phone
(972) 530-5550
Fax
(972) 530-3632
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G0748 TX Primary

Addresses

Primary practice location

2825 Belt Line Rd
Suite 103
Garland, TX 75044-7011

Mailing address

2825 Belt Line Rd
Suite 103
Garland, TX 75044-7011
Phone (972) 530-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1003092644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 BELT LINE RD",
            "address_2": "SUITE 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447011",
            "telephone_number": "972-530-5550",
            "fax_number": "972-530-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 BELT LINE RD",
            "address_2": "SUITE 103",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750447011",
            "telephone_number": "972-530-5550",
            "fax_number": "972-530-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "STELLA",
        "middle_name": "SUK-YEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.