| Andrew Chung Md Pllc | |
|
3600 Gaston Ave Suite 755 Dallas TX 75246-1800 | |
| (214) 823-4200 | |
| (214) 823-4206 |
| Full Name | Andrew Chung Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3600 Gaston Ave, Dallas, Texas |
| Authorized Official Name and Position | Andrew D Chung (OWNER) |
| Authorized Official Contact | 2148234200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew Chung Md Pllc 3600 Gaston Ave Ste 755 Dallas TX 75246-1800 Ph: (214) 823-4200 | Andrew Chung Md Pllc 3600 Gaston Ave Suite 755 Dallas TX 75246-1800 Ph: (214) 823-4200 |
| NPI Number | 1073843181 |
|---|---|
| Provider Enumeration Date | 01/12/2010 |
| Last Update Date | 09/30/2015 |
| Medicare PECOS PAC ID | 6608991989 |
|---|---|
| Medicare Enrollment ID | O20100909000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073843181 | NPI | - | NPPES |
| 280440301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K3134 (Texas) | Primary |
| Provider Name | Andrew D Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962500413 PECOS PAC ID: 6507916145 Enrollment ID: I20090602000714 |
| Provider Name | Kathryn Calhoun Cornelius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255710679 PECOS PAC ID: 3375899883 Enrollment ID: I20180712002735 |
| Provider Name | Nicholas S Dressel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285110494 PECOS PAC ID: 9133452725 Enrollment ID: I20190613002052 |
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