Charles R. Chung, M.d., P.a.

NPI #1417279308 in Bedford, Texas

Provider Information

NPI Number: 1417279308
Entity Type: Organization
Organization Name: Charles R. Chung, M.d., P.a.
Primary Specialty: Otolaryngology
Enumeration Date: Feb 19, 2010
Last Updated: Aug 3, 2010

Practice Location

Address: 1850 CENTRAL DR. #B
City: Bedford
State: Texas
ZIP Code: 76021-5890
Phone: (817) 267-1521

Authorized Official

Name: CHARLES R CHUNG, M.D., P.A.
Title: PRESIDENT/PHYSICIAN
Phone: (817) 267-1521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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