MEDICARE: HYOUNGCHIN JOO

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	111N00000X	Chiropractor	12320	TX

General Provider Information

NPI Number	:	1396182812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HYOUNGCHIN JOO

Provider Business Mailing Address
First Line	:	9600 LONG POINT RD
Second Line	:	STE 122
City	:	HOUSTON
State	:	TX
Zip	:	77055-4268
Country	:	US
Telephone Number	:	713-894-1263
Fax Number	:	346-240-1049

Provider Business Practice Location Address
First Line	:	9600 LONG POINT RD
Second Line	:	STE 122
City	:	HOUSTON
State	:	TX
Zip	:	77055-4268
Country	:	US
Telephone Number	:	713-894-1263
Fax Number	:	346-240-1049

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

Provider Enumeration Date	:	05/23/2013
Last Update Date	:	02/26/2016

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Directions to “ HYOUNGCHIN JOO ” Practice Location

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