Individual
ANDREW D CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 GASTON AVE, SUITE 755, DALLAS, TX 75246-1800
(214) 823-4200
(214) 823-4206
Mailing address
3600 GASTON AVE, SUITE 755, DALLAS, TX 75246-1800
(214) 823-4200
(214) 823-4206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K3134
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031482502
—
TX
05
—
043042301
—
TX
01
—
110158386
RR MEDICARE
—
01
—
5572534
AETNA
—
01
—
845115
BCBS
—
Enumeration date
09/20/2006
Last updated
11/05/2014
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