MEDICARE: DANIEL SUNWOO 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	208100000X	Physical Medicine & Rehabilitation Physician	M3093	TX

General Provider Information

NPI Number	:	1811959034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL SUNWOO M.D.

Provider Business Mailing Address
First Line	:	5425 W SPRING CREEK PKWY
Second Line	:	SUITE 100
City	:	PLANO
State	:	TX
Zip	:	75024-4236
Country	:	US
Telephone Number	:	972-596-1059
Fax Number	:	972-612-5410

Provider Business Practice Location Address
First Line	:	5425 W SPRING CREEK PKWY
Second Line	:	SUITE 100
City	:	PLANO
State	:	TX
Zip	:	75024-4236
Country	:	US
Telephone Number	:	972-596-1059
Fax Number	:	972-612-5410

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

Provider Enumeration Date	:	04/04/2006
Last Update Date	:	12/12/2014

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