Individual
JONG HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1712 CAMINO ALEMEDA, CEDAR PARK, TX 78641-2638
(310) 779-9937
Mailing address
1712 CAMINO ALEMEDA, CEDAR PARK, TX 78641-2638
(310) 779-9937
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1213628
TX
Other
Enumeration date
02/08/2025
Last updated
11/19/2025
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