Individual
HSIAO-LAN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.M.D.
Contact information
Practice address
8305 WHITLEY RD, STE A, WATAUGA, TX 76148-2483
(817) 583-8808
(817) 583-8808
Mailing address
8305 WHITLEY RD, STE A, WATAUGA, TX 76148-2483
(817) 583-8808
(817) 583-8808
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11789775
CAQH
TX
01
—
8M8488
BCBS OF TX
TX
Enumeration date
03/30/2007
Last updated
05/22/2014
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