Provider Demographics
NPI:1023119070
Name:WOO, CHICHI JUNDA (MD)
Entity type:Individual
Prefix:DR
First Name:CHICHI
Middle Name:JUNDA
Last Name:WOO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JUNDA
Other - Middle Name:
Other - Last Name:WOO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:111 SOLEDAD ST
Mailing Address - Street 2:STE 1000
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-2230
Mailing Address - Country:US
Mailing Address - Phone:210-207-8896
Mailing Address - Fax:210-208-8999
Practice Address - Street 1:512 E HIGHLAND BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-3521
Practice Address - Country:US
Practice Address - Phone:210-207-8896
Practice Address - Fax:210-208-8999
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL90192083P0901X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX94815OtherCARELINK
TX8G8244OtherBCBS
TX188945301Medicaid
TXI71683Medicare UPIN
TX94815OtherCARELINK