Provider Demographics
NPI:1568477867
Name:CHENG, JONATHAN JUIN-JEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:JUIN-JEN
Last Name:CHENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1801 INWOOD RD
Mailing Address - Street 2:DEPT OF PLASTIC SURGERY
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-9132
Mailing Address - Country:US
Mailing Address - Phone:214-645-3101
Mailing Address - Fax:214-645-3105
Practice Address - Street 1:1801 INWOOD RD
Practice Address - Street 2:DEPT OF PLASTIC SURGERY
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9132
Practice Address - Country:US
Practice Address - Phone:214-645-3101
Practice Address - Fax:214-645-3105
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM71092082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand