Individual
CHARLIE CHUNG-YIH SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-4279
Mailing address
1551 OAK LAWN AVE APT 474, DALLAS, TX 75207-3699
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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