Provider Demographics
NPI:1366680886
Name:FUNG, MING-KAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:MING-KAY
Middle Name:
Last Name:FUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:JOE
Other - Middle Name:MING-KAY
Other - Last Name:FUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:2528 SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-1434
Mailing Address - Country:US
Mailing Address - Phone:713-529-5656
Mailing Address - Fax:713-529-5994
Practice Address - Street 1:2528 SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1434
Practice Address - Country:US
Practice Address - Phone:713-529-5656
Practice Address - Fax:713-529-5994
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX161151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice