Individual
GRACE Y JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 HERITAGE TRACE PKWY STE 408, FORT WORTH, TX 76244-8944
(817) 283-5252
Mailing address
5032 STEINBECK ST, CARROLLTON, TX 75010-5001
(469) 536-1460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18387
TX
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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