Provider Demographics
NPI:1073737037
Name:KO, SUNG CHO (DC)
Entity Type:Individual
Prefix:DR
First Name:SUNG
Middle Name:CHO
Last Name:KO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 RED MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4916
Mailing Address - Country:US
Mailing Address - Phone:972-906-7162
Mailing Address - Fax:
Practice Address - Street 1:601 N BELT LINE RD STE 35
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-6393
Practice Address - Country:US
Practice Address - Phone:469-226-4241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor