Individual
JAE BUM HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2216 ROYAL LN STE 113, DALLAS, TX 75229-7802
(972) 742-3913
Mailing address
5220 N O CONNOR BLVD STE 106, IRVING, TX 75039-5738
(972) 742-3913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14810
TX
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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