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NPI Code Detail

MEDICARE: JUNG T. CHENG M.D.

MEDICARE:   JUNG T. CHENG  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
12084N0400XNeurology PhysicianH6114TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00613859OTHERTXRAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1942200464
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNG T. CHENG M.D.
Provider Business Mailing Address
First Line : 5323 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75390-9257
Country : US
Telephone Number : 817-882-2400
Fax Number : 817-882-2401
Provider Business Practice Location Address
First Line : 600 S MAIN ST
Second Line :
City : FT WORTH
State : TX
Zip : 76104-2410
Country : US
Telephone Number : 817-882-2400
Fax Number : 817-882-2401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2005
Last Update Date : 07/25/2019

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Directions to “ JUNG T. CHENG M.D.” Practice Location

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