Stephanie Therese Chung
Pediatrician Pediatric Endocrinologist
301 University Blvd
Galveston
, Texas 77555-5302
Stephanie Therese Chung
Pediatrician Pediatric Endocrinologist
301 University Blvd
Galveston
, Texas 77555-5302
(409) 772-2222
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About
Features
Specialties
- Pediatrician
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Stephanie Therese Chung
- 301 University Blvd
- Galveston, TX
- Zip : 77555-5302
- Phone : (409) 772-2222
Second Address
- Stephanie Therese Chung
- 301 University Blvd
- Galveston, TX
- Zip : 77555-5302
- Phone : (409) 772-2222
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | N2034 | TX |
| N | 2080P0205X | Pediatric Endocrinologist | N2034 | TX |
National Provider Identifier
| NPI | 1023212685 |
|---|---|
| Provider Name | Stephanie Therese Chung |
| First Address | Galveston, TX 77555-5302 |
| Second Address | Galveston, TX 77555-5302 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2007 |
| Last Update Date | 01/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2776875362 | MYUTMB 2776875362-COMMERCIAL NUMBER (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.