Provider Demographics
NPI:1285405720
Name:CHUNG'S FAMILY HEALTHCARE ASSOCIATION
Entity type:Organization
Organization Name:CHUNG'S FAMILY HEALTHCARE ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WAN-TSU
Authorized Official - Middle Name:
Authorized Official - Last Name:HSUEH
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:817-583-8808
Mailing Address - Street 1:181 W SOUTHLAKE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-7028
Mailing Address - Country:US
Mailing Address - Phone:817-583-8808
Mailing Address - Fax:817-583-8808
Practice Address - Street 1:181 W SOUTHLAKE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-7028
Practice Address - Country:US
Practice Address - Phone:817-583-8808
Practice Address - Fax:817-583-8808
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHUNG'S FAMILY ESTATE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty