Individual provider Active NPI

Julie Hong, DO

  • Pediatrics Physician
  • Mansfield, TX
National Provider Identifier
1073190286
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U9962 Issued in TX
Practice address
1759 Broad Park Circle S
Suite 201 and 205
Mansfield, TX 76063
Phone
(682) 341-3910
Fax
(682) 400-1288
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U9962 TX Primary

Addresses

Primary practice location

1759 Broad Park Circle S
Suite 201 and 205
Mansfield, TX 76063

Mailing address

1759 Broad Park Circle S
Suite 201 and 205
Mansfield, TX 76063
Phone (682) 341-3910

Other practice location 1

7800 Preston Rd Ste 300
Plano, TX 75024-3236
Phone (972) 608-3800

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
U9962TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidsville Pediatrics PLLC Pediatrics CurrentSince Jan 25, 2026 Accepting new patients

Locations

1759 Broad Park Cir S
Ste 201
Mansfield, TX 76063
Phone (682) 341-3910

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1073190286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 BROAD PARK CIRCLE S",
            "address_2": "SUITE 201 AND 205",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "682-341-3910",
            "fax_number": "682-400-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 BROAD PARK CIRCLE S",
            "address_2": "SUITE 201 AND 205",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "682-341-3910",
            "fax_number": "682-400-1288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 Preston Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750243236",
            "country_code": "US",
            "telephone_number": "972-608-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "JULIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U9962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.