Individual
DR. EUGENE J CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4054
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
P2620
TX
2080P0203X
Pediatric Critical Care Medicine Physician
P2620
TX
Other
Enumeration date
05/04/2006
Last updated
04/13/2021
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