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Individual

DR. HARRY H JUNG III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13601 PRESTON RD, SUITE 1000W, DALLAS, TX 75240-4911
(972) 715-5000
Mailing address
PO BOX 650426, DALLAS, TX 75265-0426
(972) 715-5000

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F9639
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05009011831
BCBS
MI
05
114735702
TX
05
114735709
TX
05
114735711
TX
05
1740224674
MI
01
896865
BCBS
TX
01
8AS966
BCBS
TX
01
8BX904
BCBS
TX
01
8CF244
BCBS
TX
01
8CI338
BCBS
TX
01
P00720532
RAILROAD
01
P00771266
RAILROAD
05
PENDING
NM
Enumeration date
06/14/2006
Last updated
02/28/2011
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