Provider Demographics
NPI:1821638370
Name:CHO, JUNSUNG (NP)
Entity Type:Individual
Prefix:MR
First Name:JUNSUNG
Middle Name:
Last Name:CHO
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH) UNIT
Mailing Address - Street 2:
Mailing Address - City:PYEONGTEAK
Mailing Address - State:TX
Mailing Address - Zip Code:96271
Mailing Address - Country:US
Mailing Address - Phone:726-206-6169
Mailing Address - Fax:
Practice Address - Street 1:BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH) UNIT
Practice Address - Street 2:UNIT #15245; BLDG 3031 APO, AP 96271
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:96271
Practice Address - Country:US
Practice Address - Phone:726-206-6169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-13
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX931282163WC0200X
TX1045099363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine