MEDICARE: DR. SUNG YUN HONG M.D.

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	174400000X	Specialist	G6307	TX

General Provider Information

NPI Number	:	1265478960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUNG YUN HONG M.D.

Provider Business Mailing Address
First Line	:	363 E PARKWOOD AVE
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-5147
Country	:	US
Telephone Number	:	281-992-8488
Fax Number	:	821-992-8998

Provider Business Practice Location Address
First Line	:	363 E PARKWOOD AVE
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-5147
Country	:	US
Telephone Number	:	281-992-8488
Fax Number	:	821-992-8998

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

Provider Enumeration Date	:	06/21/2006
Last Update Date	:	07/08/2007

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