Individual
PROF. JUN TERUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DSC
Contact information
Practice address
6621 FANNIN ST, SUITE WB1100, HOUSTON, TX 77030-2303
(832) 824-1879
(832) 825-5858
Mailing address
6621 FANNIN ST, SUITE WB1100, HOUSTON, TX 77030-2303
(832) 824-1879
(832) 825-5858
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
L4754
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154018901
—
TX
01
—
154018902
CIDC
TX
Enumeration date
07/20/2006
Last updated
07/29/2013
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