Individual
HEON-SOOK CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 CITYWEST BLVD, STE. 300, HOUSTON, TX 77042-2300
(713) 620-4000
(713) 458-4229
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP107124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003374801
—
TX
05
—
003374802
—
TX
01
—
430032264
RAILROAD MEDICARE
—
01
—
88786C
TX-BLUE SHIELD
—
Enumeration date
01/08/2007
Last updated
07/30/2020
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