Provider Demographics
NPI:1972592368
Name:HUNG, THOMAS YL (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:YL
Last Name:HUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9330 LBJ FWY STE 800
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-4310
Mailing Address - Country:US
Mailing Address - Phone:972-792-5700
Mailing Address - Fax:
Practice Address - Street 1:12720 HILLCREST RD STE 900
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2047
Practice Address - Country:US
Practice Address - Phone:972-566-8300
Practice Address - Fax:972-566-8004
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1156207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX207075701Medicaid
TX8X9981OtherBLUE CROSS OF TEXAS
TXH49795Medicare UPIN
TX207075701Medicaid
TX00637ZMedicare PIN