Individual
DR. JONATHAN CHUN OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 WORTH ST, DEPT OF GYNECOLOGIC ONCOLOGY, DALLAS, TX 75246-2003
(214) 370-1301
(214) 370-1318
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
K5368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166212403
—
TX
05
—
166212404
—
TX
05
—
166212405
—
TX
05
—
166214401
—
TX
05
—
166214402
—
TX
05
—
200191530A
—
OK
01
—
8R1517
BLUE CROSS OF TEXAS
TX
Enumeration date
06/10/2006
Last updated
10/26/2011
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