Provider Demographics
NPI:1346560166
Name:CHUN, HOYOUNG
Entity type:Individual
Prefix:
First Name:HOYOUNG
Middle Name:
Last Name:CHUN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:ROY
Other - Middle Name:
Other - Last Name:CHUN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:11501 SOCORRO RD
Mailing Address - Street 2:
Mailing Address - City:SOCORRO
Mailing Address - State:TX
Mailing Address - Zip Code:79927-3060
Mailing Address - Country:US
Mailing Address - Phone:915-603-4633
Mailing Address - Fax:877-796-0125
Practice Address - Street 1:11501 SOCORRO RD
Practice Address - Street 2:
Practice Address - City:SOCORRO
Practice Address - State:TX
Practice Address - Zip Code:79927-3060
Practice Address - Country:US
Practice Address - Phone:915-603-4633
Practice Address - Fax:877-796-0125
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25057122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist