MEDICARE: THOMAS BYUN DC

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	S04172	MD

General Provider Information

NPI Number	:	1629778097
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS BYUN DC

Provider Business Mailing Address
First Line	:	10230 NEW HAMPSHIRE AVE STE 203
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1423
Country	:	US
Telephone Number	:	301-448-1611
Fax Number	:

Provider Business Practice Location Address
First Line	:	10230 NEW HAMPSHIRE AVE STE 203
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1423
Country	:	US
Telephone Number	:	301-448-1611
Fax Number	:

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

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	03/06/2023

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Directions to “ THOMAS BYUN DC” Practice Location

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