Individual
CHUNG MEI PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
4145 TABERNASH, RICHARDSON, TX 75082-3744
(469) 867-5258
Mailing address
4145 TABERNASH, RICHARDSON, TX 75082-3744
(469) 867-5258
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP143352
TX
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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