Healthcare Provider Details

I. General information

NPI: 1508561408
Provider Name (Legal Business Name): SEMI SUNG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9915 BARKER CYPRESS RD STE 200
CYPRESS TX
77433-1203
US

IV. Provider business mailing address

21041 ROSEMARY BREEZE LN
CYPRESS TX
77433-8870
US

V. Phone/Fax

Practice location:
  • Phone: 281-737-1555
  • Fax:
Mailing address:
  • Phone: 917-572-7470
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1508561408
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: