MEDICARE: SUNG HEUM JO DO

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1962359257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNG HEUM JO DO

Provider Business Mailing Address
First Line	:	4060 SPRINGER WAY APT 212
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-8330
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6411 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-1501
Country	:	US
Telephone Number	:	713-704-4000
Fax Number	:

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

Provider Enumeration Date	:	03/14/2026
Last Update Date	:	03/14/2026

Similar Medicare Providers

1255891644 — IMAD M RIAZUDDIN MD
Practice Location Address:

6431 FANNIN ST STE JJL 310
HOUSTON, TX
77030-1501

Practice Phone: 713-500-5154
Practice Fax:

1790631927 — SUMAYA RAMI ABU-REZEQ RN
Practice Location Address:

6411 FANNIN ST
HOUSTON, TX
77030-1501

Practice Phone: 713-704-4000
Practice Fax:

1801598313 — BLAKE OLIARO MD
Practice Location Address:

6431 FANNIN ST
HOUSTON, TX
77030-1501

Practice Phone: 713-500-4887
Practice Fax: 713-500-6829

1952258931 — SAHANA KODALI
Practice Location Address:

6431 FANNIN ST
HOUSTON, TX
77030-1501

Practice Phone: 713-500-4472
Practice Fax:

1316809056 — DR. JOY JOSEPH DNP, APRN, AGACNP-BC
Practice Location Address:

6411 FANNIN ST
HOUSTON, TX
77030-1501

Practice Phone: 713-704-4000
Practice Fax:

1679033039 — OBIANUJU CHINONYE EZIOLISA DO
Practice Location Address:

6411 FANNIN ST
HOUSTON, TX
77030-1501

Practice Phone: 713-500-7885
Practice Fax: 713-500-0625

Directions to “ SUNG HEUM JO DO” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.