Provider Demographics
NPI:1134341357
Name:SUH, SUNGWOO ALEX (DC)
Entity type:Individual
Prefix:DR
First Name:SUNGWOO
Middle Name:ALEX
Last Name:SUH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:SUH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:15103 BY THE LAKE WAY
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-1406
Mailing Address - Country:US
Mailing Address - Phone:281-256-8935
Mailing Address - Fax:281-255-2548
Practice Address - Street 1:5912 SPENCER HWY
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-1602
Practice Address - Country:US
Practice Address - Phone:281-998-6067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6917111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor