Provider Demographics
NPI:1922218452
Name:HUNG, CHIA-LUNG TIM (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHIA-LUNG
Middle Name:TIM
Last Name:HUNG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:920 STUDEMONT ST
Mailing Address - Street 2:SUITE 500
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-5983
Mailing Address - Country:US
Mailing Address - Phone:713-869-0600
Mailing Address - Fax:
Practice Address - Street 1:920 STUDEMONT ST
Practice Address - Street 2:SUITE 500
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77007-5983
Practice Address - Country:US
Practice Address - Phone:713-869-0600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX220111223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics