Patrick K Kwan, M. D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G2415 Issued in TX

Practice address

801 N Grand Ave
Suite 4
Gainesville, TX 76240-3573

Phone

(940) 665-0683

Fax

(940) 668-2663

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Kin C Kwan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1073578001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N GRAND AVE",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403573",
            "telephone_number": "940-665-0683",
            "fax_number": "940-668-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N GRAND AVE",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762403573",
            "telephone_number": "940-665-0683",
            "fax_number": "940-668-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "PATRICK",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "G2415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120593204",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120593202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INSURANCE",
            "identifier": "4357499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIN",
            "last_name": "KWAN",
            "middle_name": "C",
            "credential": "M.  D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Niatasha Klement, SLP
• Polly Anna Klement, NP
• Taylor Renee Klement, MD, NCC, LPC
• Franz ------------------- Klutschkowski, ED.D.
• Judy Krahl
• Lake Kiowa Medical Clinic
• Amber R Lavender, FNP
• Legend Healthcare Gainesville, LP
• Douglas T. Lewis, M.D.
• Rebekah Lewis, CPM, LM

• General Practice Physician in Gainesville, TX
• Providers in Gainesville, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.