Provider Demographics
NPI:1396182812
Name:JOO, HYOUNGCHIN
Entity Type:Individual
Prefix:
First Name:HYOUNGCHIN
Middle Name:
Last Name:JOO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9600 LONG POINT RD
Mailing Address - Street 2:STE 122
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-4268
Mailing Address - Country:US
Mailing Address - Phone:713-894-1263
Mailing Address - Fax:346-240-1049
Practice Address - Street 1:9600 LONG POINT RD
Practice Address - Street 2:STE 122
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-4268
Practice Address - Country:US
Practice Address - Phone:713-894-1263
Practice Address - Fax:346-240-1049
Is Sole Proprietor?:No
Enumeration Date:2013-05-23
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12320111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX318846YNIZMedicare PIN