Provider Demographics
NPI:1639566896
Name:SONU, CHUNNA
Entity Type:Individual
Prefix:
First Name:CHUNNA
Middle Name:
Last Name:SONU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 OHIO DR STE 255
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3954
Mailing Address - Country:US
Mailing Address - Phone:214-802-3997
Mailing Address - Fax:
Practice Address - Street 1:2301 OHIO DR STE 255
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3954
Practice Address - Country:US
Practice Address - Phone:214-802-3997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-24
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01141171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist