Individual
DR. MAUNG MAUNG OO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 MEDICAL CIR, SUITE 106, ATHENS, TX 75751-9004
(903) 675-1322
(903) 675-6743
Mailing address
721 CLINIC DR, SUITE A, TYLER, TX 75701-2043
(903) 592-6152
(903) 526-0629
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
L0890
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045604803
—
TX
Enumeration date
01/03/2007
Last updated
11/17/2016
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