| Doctor Name: | DR. SAMUEL SEUNGKWON LA |
| NPI Number: | 1811948706 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | L6998 |
| Business Practice Address: | 3901 W 15th St Plano, TX - 750757738 |
| Business Phone Number: | 9725966800 |
| Business Fax Number: | |
| Mailing Address: | 1820 Preston Park Blvd, Ste 1825 PLANO |
| State: | TX |
| Postal Code: | 750933656 |
| Phone Number: | 9728677862 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 06/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | L6998 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |