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NPI Code Detail

MEDICARE: RYAN JONATHAN CHEUNG D.O.

MEDICARE: RYAN JONATHAN CHEUNG D.O.
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
12084N0400XNeurology PhysicianR9343TX
22084V0102XVascular Neurology PhysicianR9343TX

General Provider Information

NPI Number : 1740676071
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN JONATHAN CHEUNG D.O.
Provider Business Mailing Address
First Line : 8390 LYNDON B JOHNSON FREEWAY
Second Line : SUITE 1000
City : DALLAS
State : TX
Zip : 75243-1288
Country : US
Telephone Number : 214-750-1510
Fax Number : 214-265-8653
Provider Business Practice Location Address
First Line : 8390 LYNDON B JOHNSON FWY STE 1000
Second Line :
City : DALLAS
State : TX
Zip : 75243-1288
Country : US
Telephone Number : 214-750-1510
Fax Number : 214-265-8653
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2015
Last Update Date : 02/05/2026

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