Provider Demographics
NPI:1073503959
Name:CHUNG, PATRICIA SHING (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:SHING
Last Name:CHUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:415 EMBASSY OAKS STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2042
Mailing Address - Country:US
Mailing Address - Phone:210-490-9087
Mailing Address - Fax:210-490-9111
Practice Address - Street 1:415 EMBASSY OAKS STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2042
Practice Address - Country:US
Practice Address - Phone:210-490-9087
Practice Address - Fax:210-490-9111
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64474207Q00000X
TXL7275207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH59060Medicare UPIN