Individual
DR. ANDY TUAN ANH CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 HOSPITAL DR STE 100, CORSICANA, TX 75110-2489
(903) 641-4270
(903) 875-1515
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7385
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
2004034263
MO
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
N2033
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017257
KAISER COMMERCIAL
CO
05
—
76480330
—
CO
Enumeration date
07/17/2006
Last updated
09/08/2022
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