MEDICARE: HING-SHEUNG EUGENE FUNG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	J1249	TX

General Provider Information

NPI Number	:	1073624292
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HING-SHEUNG EUGENE FUNG MD

Provider Business Mailing Address
First Line	:	611 W HWY 6 STE 101
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-7545
Country	:	US
Telephone Number	:	254-755-4582
Fax Number	:	254-755-4585

Provider Business Practice Location Address
First Line	:	611 W HWY 6 STE 101
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-7545
Country	:	US
Telephone Number	:	254-755-4582
Fax Number	:	254-755-4585

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/16/2022

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