Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | M7109 | TX |
NPI | 1568477867 |
---|---|
Provider Name | Dr. Jonathan Juin-Jen Cheng |
First Address | Dallas, TX 75390-9132 |
Second Address | Dallas, TX 75390-9132 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2006 |
Last Update Date | 28/02/2008 |