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Organization
JUNG I CHI MD PA
Active
Organization
JUNG I CHI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG I CHI M.D. (PRESIDENT)
(214) 941-9672
Entity
Organization
Contact information
Practice address
600 W CAMPBELL RD, SUITE 4, RICHARDSON, TX 75080-3385
(214) 941-9672
(214) 941-4746
Mailing address
600 W CAMPBELL RD, SUITE 4, RICHARDSON, TX 75080-3385
(214) 941-9672
(214) 941-4746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F0416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000NN72
BLUECROSS BLUESHIELD
TX
05
—
0986275-02
—
TX
Enumeration date
09/26/2008
Last updated
03/26/2010
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