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1215264676
BOUAPHANE HONGKEO
DALLAS, TX
NPI
1215264676
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Other Name
BO HONGKEO
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA04770)
Enumeration Date
2009-11-05
Last Update Date
2009-11-05
Business Address
-- BOUAPHANE HONGKEO PA-C
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235-7701
Phone number: 214-456-6660
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Mailing Address
-- BOUAPHANE HONGKEO PA-C
2300 MESA OAK TRL
PLANO, TX 75025-4721
Phone number: 214-280-9267
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