Basic Information
Provider Information
NPI: 1093152639
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HONG
FirstName: STEVE
MiddleName: JAY
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5940 FOREST PARK RD APT 1070
Address2:  
City: DALLAS
State: TX
PostalCode: 752356441
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 3140 LEGACY DR STE 310
Address2:  
City: FRISCO
State: TX
PostalCode: 750349383
CountryCode: US
TelephoneNumber: 9724354002
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/22/2013
LastUpdateDate: 06/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XR8578TXN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LP2900XR8578TXN Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
208VP0014XR8578TXY Allopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine

No ID Information.


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