Provider Demographics
NPI:1700836442
Name:CHOI, JINHEE (MD)
Entity Type:Individual
Prefix:
First Name:JINHEE
Middle Name:
Last Name:CHOI
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 1:3450 W WHEATLAND RD
Mailing Address - Street 2:PAV II STE#443
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3470
Mailing Address - Country:US
Mailing Address - Phone:972-572-3300
Mailing Address - Fax:972-572-4400
Practice Address - Street 1:3450 W WHEATLAND RD
Practice Address - Street 2:PAV II STE#443
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3470
Practice Address - Country:US
Practice Address - Phone:972-572-3300
Practice Address - Fax:972-572-4400
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2010-00715207Y00000X
TXQ0617207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8EL067OtherBLUE CROSS AND BLUE SHIELD OF TEXAS
TX361265YKQJMedicare PIN