Individual
MRS. COURTNEY CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
RR 2 BOX 4400, GATESVILLE, TX 76597-0001
(254) 865-6663
Mailing address
201 N 7TH ST, GATESVILLE, TX 76528-1306
(210) 863-8023
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09364
TX
363AM0700X
Medical Physician Assistant
00000000000000000000
TX
Other
Enumeration date
10/23/2014
Last updated
11/09/2022
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