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Organization

JACOB CHUN MD PA

Active
Other names
Hunt Orthopedics
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB CHUN MD (OWNER)
(903) 455-0300
Entity
Organization

Contact information

Practice address
4221 RIDGECREST RD, SUITE101, GREENVILLE, TX 75402-6017
(903) 455-0300
(903) 455-0301
Mailing address
4725 WELLINGTON ST, GREENVILLE, TX 75401-4945
(903) 455-0300
(903) 455-0301

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L9146
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0077TM
BCBS GRP. NUMBER
TX
05
1722159-02
TX
Enumeration date
04/13/2010
Last updated
08/10/2021
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