MEDICARE: MI RA JUNG

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	171100000X	Acupuncturist	AC02090	TX

General Provider Information

NPI Number	:	1528782414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MI RA JUNG

Provider Business Mailing Address
First Line	:	1511 W MCDERMOTT DR STE 230
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-4693
Country	:	US
Telephone Number	:	945-344-5008
Fax Number	:

Provider Business Practice Location Address
First Line	:	1511 W MCDERMOTT DR STE 230
Second Line	:
City	:	ALLEN
State	:	TX
Zip	:	75013-4693
Country	:	US
Telephone Number	:	945-344-5008
Fax Number	:

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

Provider Enumeration Date	:	10/03/2022
Last Update Date	:	06/23/2026

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Directions to “ MI RA JUNG ” Practice Location

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