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Individual

DR. IVAN CHENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4215 BENNER STE 300, KYLE, TX 78640-2224
(512) 439-1000
Mailing address
4700 SETON CENTER PKWY STE 200, AUSTIN, TX 78759-4107
(512) 439-1000

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
S5578
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
S5578
TX

Other

Enumeration date
08/19/2006
Last updated
06/10/2024
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