Provider Demographics
NPI:1669654497
Name:HING-SHEUNG EUGENE FUNG MD PA
Entity Type:Organization
Organization Name:HING-SHEUNG EUGENE FUNG MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HING-SHEUNG
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:FUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:254-755-4582
Mailing Address - Street 1:2911 HERRING AVE
Mailing Address - Street 2:SUITE 306
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76708-3245
Mailing Address - Country:US
Mailing Address - Phone:254-755-4582
Mailing Address - Fax:254-755-4585
Practice Address - Street 1:2911 HERRING AVE
Practice Address - Street 2:SUITE 306
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76708-3245
Practice Address - Country:US
Practice Address - Phone:254-755-4582
Practice Address - Fax:254-755-4585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1249207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00291UOtherREINSTATED MEDICARE GROUP#
TXJ1249OtherTXB LICENSE
TXA0082541OtherDPS #
TXBF3376591OtherDEA #
TXF39853Medicare UPIN