IndividualActive
Jae-Koo an, M.D.
NPI 1205805447 · Pediatric Gastroenterology Physician · Plano, TX
Provider details
- NPI number
- 1205805447
- Entity type
- Individual
- Primary specialty
- Pediatric Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- L5652 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
7000 W Plano Pkwy Ste 110
Plano, TX 75093-8467
Phone: (972) 306-3767
Fax: (972) 566-8839
Approximate (ZIP-level) locationGet directions
Mailing address
7610 N Stemmons Fwy Ste 600
Dallas, TX 75247-4228
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2020-09-25
- Certified
- 2020-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.