Organization
JEN MANN CHUONGMDPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEN M CHUONG MD (OWNER)
(903) 880-0131
Entity
Organization
Contact information
Practice address
2310 W MAIN ST, GUN BARREL CITY, TX 75156-3636
(903) 880-0131
Mailing address
2310 W MAIN ST, GUN BARREL CITY, TX 75156-3636
(903) 880-0131
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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