Jen Mann Chuongmdpa

NPI #1255529517 in Gun Barrel City, Texas

Provider Information

NPI Number: 1255529517
Entity Type: Organization
Organization Name: Jen Mann Chuongmdpa
Primary Specialty: General Practice
Enumeration Date: Oct 11, 2007
Last Updated: Oct 11, 2007

Practice Location

Address: 2310 W MAIN ST
City: Gun Barrel City
State: Texas
ZIP Code: 75156-3636
Phone: (903) 880-0131

Authorized Official

Name: JEN M CHUONG, MD
Title: OWNER
Phone: (903) 880-0131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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