Individual
CHEUKHUNG A NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 FLOURNOY RD, SUITE 2A, ALICE, TX 78332
(361) 664-1417
(185) 535-0561
Mailing address
204 E 1ST ST, ALICE, TX 78332-4822
(361) 396-0370
(361) 664-2248
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15197
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009033401
—
TX
05
—
133270208
—
TX
01
—
D15197
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/28/2006
Last updated
03/28/2022
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