Provider Demographics
NPI:1710066758
Name:CHERNLY, CHUNG-HWEI (OMD, LAC, DIPL CH)
Entity Type:Individual
Prefix:DR
First Name:CHUNG-HWEI
Middle Name:
Last Name:CHERNLY
Suffix:
Gender:M
Credentials:OMD, LAC, DIPL CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 W HARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2939
Mailing Address - Country:US
Mailing Address - Phone:817-498-8449
Mailing Address - Fax:817-281-4829
Practice Address - Street 1:470 W HARWOOD RD
Practice Address - Street 2:
Practice Address - City:HURST
Practice Address - State:TX
Practice Address - Zip Code:76054-2939
Practice Address - Country:US
Practice Address - Phone:817-498-8449
Practice Address - Fax:817-281-4829
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00001171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8M8371OtherBCBS OF TX
TX10772076OtherCAQH
TX3177491OtherCIGNA
TX5886022OtherAETNA