Provider Demographics
NPI:1568585719
Name:YOON, CAROLINE KUN (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:KUN
Last Name:YOON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17099 N TEXAS AVE
Mailing Address - Street 2:#200
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4069
Mailing Address - Country:US
Mailing Address - Phone:281-332-4575
Mailing Address - Fax:281-554-4722
Practice Address - Street 1:17099 N TEXAS AVE
Practice Address - Street 2:# 200
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4069
Practice Address - Country:US
Practice Address - Phone:281-332-4575
Practice Address - Fax:281-554-4722
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY242382174400000X
TXN2892207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No174400000XOther Service ProvidersSpecialist