MEDICARE: DR. SANG H CHUN 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
1	174400000X	Specialist	G4098	TX

General Provider Information

NPI Number	:	1972632917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANG H CHUN M.D.

Provider Business Mailing Address
First Line	:	6500 NORTH FWY
Second Line	:	#117
City	:	HOUSTON
State	:	TX
Zip	:	77076-2941
Country	:	US
Telephone Number	:	713-691-3313
Fax Number	:	713-691-3337

Provider Business Practice Location Address
First Line	:	6500 NORTH FWY
Second Line	:	#117
City	:	HOUSTON
State	:	TX
Zip	:	77076-2941
Country	:	US
Telephone Number	:	713-691-3313
Fax Number	:	713-691-3337

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

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	07/08/2007

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