MEDICARE: ELAINE GIOKLAN THUNG 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	207W00000X	Ophthalmology Physician	A120443	CA
2	207W00000X	Ophthalmology Physician	P7362	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P7362	OTHER	TX	TEXAS MEDICAL BOARD

General Provider Information

NPI Number	:	1184898553
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELAINE GIOKLAN THUNG M.D.

Provider Business Mailing Address
First Line	:	7155 OLD KATY RD
Second Line	:	SUITE N100
City	:	HOUSTON
State	:	TX
Zip	:	77024-2134
Country	:	US
Telephone Number	:	713-668-6828
Fax Number	:	832-280-3636

Provider Business Practice Location Address
First Line	:	1250 CYPRESS STATION DR
Second Line	:	A
City	:	HOUSTON
State	:	TX
Zip	:	77090-3052
Country	:	US
Telephone Number	:	281-444-1677
Fax Number	:

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

Provider Enumeration Date	:	04/16/2008
Last Update Date	:	12/17/2021

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