Provider Demographics
NPI:1346303351
Name:UNG, DAN (DC)
Entity type:Individual
Prefix:
First Name:DAN
Middle Name:
Last Name:UNG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:DAN
Other - Middle Name:
Other - Last Name:UNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:8015 GULF FWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77017-3621
Mailing Address - Country:US
Mailing Address - Phone:713-644-2225
Mailing Address - Fax:713-644-5855
Practice Address - Street 1:8015 GULF FWY
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77017-3621
Practice Address - Country:US
Practice Address - Phone:713-644-2225
Practice Address - Fax:713-644-5855
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8188174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU92178Medicare UPIN