Provider Demographics
NPI:1558766725
Name:CHEON, HEESOOK (MSN, RN, FNP)
Entity Type:Individual
Prefix:
First Name:HEESOOK
Middle Name:
Last Name:CHEON
Suffix:
Gender:F
Credentials:MSN, RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22999 HIGHWAY 59 N
Mailing Address - Street 2:STE 218
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-4440
Mailing Address - Country:US
Mailing Address - Phone:281-361-4600
Mailing Address - Fax:281-361-4601
Practice Address - Street 1:2623 MANDALAY CT
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-9162
Practice Address - Country:US
Practice Address - Phone:979-422-7427
Practice Address - Fax:512-793-9719
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP122930363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner