Healthcare Provider Details

I. General information

NPI: 1740676071
Provider Name (Legal Business Name): RYAN JONATHAN CHEUNG D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2015
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8390 LYNDON B JOHNSON FWY STE 1000
DALLAS TX
75243-1288
US

IV. Provider business mailing address

8390 LYNDON B JOHNSON FREEWAY SUITE 1000
DALLAS TX
75243-1288
US

V. Phone/Fax

Practice location:
  • Phone: 214-750-1510
  • Fax: 214-265-8653
Mailing address:
  • Phone: 214-750-1510
  • Fax: 214-265-8653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberR9343
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: