Healthcare Provider Details

I. General information

NPI: 1558958801
Provider Name (Legal Business Name): PRESTON MYUNG-HOON CHOI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 MEDICAL PKWY STE 120
AUSTIN TX
78705-1022
US

IV. Provider business mailing address

3705 MEDICAL PKWY STE 120
AUSTIN TX
78705-1022
US

V. Phone/Fax

Practice location:
  • Phone: 512-458-2141
  • Fax: 512-458-4824
Mailing address:
  • Phone: 512-458-2141
  • Fax: 512-458-4824

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License NumberW3782
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: