Provider Type Icon

KIN WONG D.O. PA NPI 1972771319


NPI Information

NPI: 1972771319
Provider Name: KIN WONG, D.O., PA

Doing Business As: RIVERSIDE HEALTHCARE CLINIC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
2327 N RIVERSIDE DR
FORT WORTH, TX
ZIP 76111
Phone: (817) 834-1655
Get Directions

KIN WONG, D.O., PA is an urgent care clinic center in Fort Worth, TX. KIN WONG, D.O., PA NPI is 1972771319. The provider is registered as an organization entity type.
The provider Is Doing Business As Riverside Healthcare Clinic.

The provider's business location address is:

2327 N RIVERSIDE DR
FORT WORTH, TX
ZIP 76111-904
Phone: (817) 834-1655

The provider's authorized official is Kin Sing Wong .
The authorized official title is Owner/president and has the following contact phone number (817) 834-1655.

The enumeration date for this NPI number is 2/20/2008 and was last updated on 9/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QU0200XClinic/CenterUrgent CareK9458TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H56846MEDICARE UPIN
2164487401MEDICAIDTEXAS
300328WMEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.