DONGKWAN JIN


Address: 3601 4th St, Ttuhsc, Department of Neurology, Lubbock, TX 79430-8321
Phone: 8067433832

DONGKWAN JIN (NPI# 1508310111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508310111
Entity Type Individual
Full Name DONGKWAN JIN
Practice Address 3601 4th St
Ttuhsc, Department of Neurology
Lubbock
TX 79430-8321
Practice Telephone 8067433832
Mailing Telephone 8067433832
Enumeration Date 2016-08-11
Last Update Date 2016-08-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
BP10056109 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 3601 4TH ST
TTUHSC, DEPARTMENT OF NEUROLOGY
City LUBBOCK
State TX
Zip Code 79430-8321

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073516993 Viviane Mamlok Pathology 3601 4th St, 1a115, Lubbock, TX 79430-0002 2005-05-24
1104436252 Kanak N/a Parmar Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-08-04
1407465115 Donald Wayne King Jr. Nurse Anesthetist, Certified Registered 3601 4th St, Lubbock, TX 79430-0002 2020-07-28
1588288674 Hillary Powers Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-06-03
1215551692 Amanda R Edinger Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-06-02
1487278966 Daniel Elling Brown Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-6211 2020-06-01
1588288013 Fabiana Monte Alegre Olmos Fernandez Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-06-01
1154945574 Alex Wilkins Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-06-01
1720602253 Amanda Lee Huggett Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-06-01
1609490192 Zeyad Saeed Amr Elharabi Student in an Organized Health Care Education/Training Program 3601 4th St, Department of Internal Medicine, Lubbock, TX 79430-0002 2020-06-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730702473 Emily Bouffard Student in an Organized Health Care Education/Training Program 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 2020-05-27
1891350310 Erin Leigh Burton Student in an Organized Health Care Education/Training Program 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 2019-05-09
1851861439 Zachery Brian Sneed Counselor 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 2018-11-27
1831683481 Swagat Parajulee Student in an Organized Health Care Education/Training Program 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 2018-06-18
1649711904 William David Boothe Jr. Dermatology 3601 4th St Stop 6211, Lubbock, TX 79430 2017-03-19
1982144945 Kazutaka Araki Specialist/Technologist 3601, 4th St, Lubbock, TX 79430 2017-02-24
1659725125 Thomas Gregory Wyatt Student in an Organized Health Care Education/Training Program 3601 4th St Rm 3a122b, Lubbock, TX 79430 2016-04-20
1619391760 Chinyere Mbagwu General Practice 3601 4th St # Ms 8143, Lubbock, TX 79430 2014-02-10
1982044111 Eileen Mary Sprys Family Medicine 3601 4th St., Stop 8143, Lubbock, TX 79430 2013-07-02
1205196243 Hilmi Alam Family Medicine Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 2012-05-24
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619383056 Doungporn Ruthirago Psychiatry & Neurology 3601 4th St Stop 8321, Department of Neurology, Lubbock, TX 79430-8321 2014-07-07
1528259900 Benjamin J. Williams Md, Phd, Pa Psychiatry & Neurology 4642 N Loop 289 Ste 203, Lubbock, TX 79416-2424 2007-08-09
1033281373 Annie Lincoln Psychiatry & Neurology 2310 Indiana Ave, Lubbock, TX 79410-2142 2006-11-14
1649363326 Health and Human Services Commission Psychiatry & Neurology 3401 N University Ave, Lubbock, TX 79415-1734 2006-10-02
1306822242 Jongyeol Kim Psychiatry & Neurology 3601 4th St # Ms 8321, Lubbock, TX 79430-0002 2005-12-22
1609369990 Jie Pan Psychiatry & Neurology 3601 4th St Stop 8321, Lubbock, TX 79430-8321 2018-06-11
1619497161 Smathorn Thakolwiboon Psychiatry & Neurology 3601 4th St Stop 8321, Lubbock, TX 79430-8321 2017-06-26
1053831693 Dargelis Chi Psychiatry & Neurology 3601 4th St Stop 8321, Lubbock, TX 79430-8321 2017-06-25
1770036881 Juliana Bertha D Gomez Abanto Psychiatry & Neurology 3601 4th St Stop 8321, Lubbock, TX 79430-8321 2016-07-26
1376990986 Mst Jannatul Ferdous Psychiatry & Neurology 3601 4th St, Stop 8321, Lubbock, TX 79430-8321 2016-05-24
Find all providers in LUBBOCK

Competitor

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City LUBBOCK
Zip Code 79430

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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