Provider Demographics
NPI:1578513636
Name:CHUNG, BOYOUNG (DC)
Entity Type:Individual
Prefix:DR
First Name:BOYOUNG
Middle Name:
Last Name:CHUNG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:BOYOUNG
Other - Middle Name:
Other - Last Name:CHUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:2011 DEER FIELD WAY
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2614
Mailing Address - Country:US
Mailing Address - Phone:254-290-3088
Mailing Address - Fax:
Practice Address - Street 1:2011 DEER FIELD WAY
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548
Practice Address - Country:US
Practice Address - Phone:254-290-3088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10166111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor