Provider Demographics
NPI:1861552424
Name:KO, EMMIE HSU (MD)
Entity type:Individual
Prefix:DR
First Name:EMMIE
Middle Name:HSU
Last Name:KO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:EMMIE
Other - Middle Name:S
Other - Last Name:HSU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:350 N TEXAS AVE STE A1
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4960
Mailing Address - Country:US
Mailing Address - Phone:281-338-1024
Mailing Address - Fax:281-338-1025
Practice Address - Street 1:350 N TEXAS AVE STE A1
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4960
Practice Address - Country:US
Practice Address - Phone:281-338-1024
Practice Address - Fax:281-338-1025
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6055207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXMDK6055OtherTX WORKERS COMP
TX2346693OtherAETNA HMO
TX7200123OtherAETNA PPO
TX0085ETOtherBLUECROSS BLUE SHIELD
TX7200123OtherAETNA PPO
TX2346693OtherAETNA HMO