Provider Demographics
NPI:1659483881
Name:KANG, EUGENE Y J (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:Y J
Last Name:KANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 W BAKER RD STE 1
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-2204
Mailing Address - Country:US
Mailing Address - Phone:281-427-9505
Mailing Address - Fax:281-420-7549
Practice Address - Street 1:2717 W BAKER RD STE 1
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2204
Practice Address - Country:US
Practice Address - Phone:281-427-9505
Practice Address - Fax:281-420-7549
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ4254207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine