Provider Demographics
NPI:1629288139
Name:YOON, JINNY (MD)
Entity Type:Individual
Prefix:DR
First Name:JINNY
Middle Name:
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 1:3537 S INTERSTATE35 E
Mailing Address - Street 2:SUITE107
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210
Mailing Address - Country:US
Mailing Address - Phone:940-384-3967
Mailing Address - Fax:940-384-4771
Practice Address - Street 1:3537 S INTERSTATE 35 E
Practice Address - Street 2:SUITE107
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210
Practice Address - Country:US
Practice Address - Phone:940-384-3967
Practice Address - Fax:940-384-4771
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2018-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM3122208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
HO4643Medicare UPIN