Joseph Chung, | |
10100 N Central Expy Ste 590, Dallas, TX 75231-4140 | |
(214) 696-5100 | |
Not Available |
Full Name | Joseph Chung |
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Gender | Male |
Speciality | Chiropractor |
Location | 10100 N Central Expy Ste 590, Dallas, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578218640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 15074 (Texas) | Primary |
Provider Name | Myocore Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316138316 PECOS PAC ID: 9830267277 Enrollment ID: O20180501000394 |
Mailing Address | Practice Location Address |
---|---|
Joseph Chung, 10100 N Central Expy Ste 590, Dallas, TX 75231-4140 Ph: (562) 405-4789 | Joseph Chung, 10100 N Central Expy Ste 590, Dallas, TX 75231-4140 Ph: (214) 696-5100 |
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