Provider Demographics
NPI:1013170588
Name:HWANG, INSUNG (DC)
Entity Type:Individual
Prefix:DR
First Name:INSUNG
Middle Name:
Last Name:HWANG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 ROYAL LN
Mailing Address - Street 2:SUITE 105
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75229-3298
Mailing Address - Country:US
Mailing Address - Phone:469-522-1004
Mailing Address - Fax:469-522-1005
Practice Address - Street 1:2000 ROYAL LANE
Practice Address - Street 2:SUITE 105
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75229-3881
Practice Address - Country:US
Practice Address - Phone:469-522-1004
Practice Address - Fax:469-522-1005
Is Sole Proprietor?:No
Enumeration Date:2008-07-05
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11140111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor