Healthcare Provider Details

I. General information

NPI: 1023119070
Provider Name (Legal Business Name): CHICHI JUNDA WOO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUNDA WOO MD

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 E HIGHLAND BLVD
SAN ANTONIO TX
78210-3521
US

IV. Provider business mailing address

111 SOLEDAD ST STE 1000
SAN ANTONIO TX
78205-2230
US

V. Phone/Fax

Practice location:
  • Phone: 210-207-8896
  • Fax: 210-208-8999
Mailing address:
  • Phone: 210-207-8896
  • Fax: 210-208-8999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberL9019
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberL9019
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: