Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAE-KOO AN, M.D.
ActiveDR. JAE-KOO AN, M.D. is a Pediatric Gastroenterology healthcare provider located in PLANO, Texas. NPI 1205805447 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · PLANO, TX
Registration Details
- NPI Number
- 1205805447
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 17, 2006 (20.224987033234 yrs)
- Last Updated
- Sep 25, 2020
- License
-
L5652 (TX)
Practice Information
- Address
-
7000 W PLANO PKWY STE 110PLANO, TX, 750938467Browse TX providers · Browse ZIP 75093
- Phone
- 9723063767
- Fax
- 9725668839
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
Other Pediatric Gastroenterology Providers in PLANO, TX
| Name | Credential | NPI |
|---|---|---|
| DR. MANISHA HARPAVAT DAVE | M.D. | 1750353371 |
| DR. MICHAEL ANTHONY RUSSO | MD | 1043272958 |
| BRENT KEITH | MD | 1285804971 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.