Provider Demographics
NPI:1457732687
Name:JONG, JIN WOO (DC)
Entity Type:Individual
Prefix:DR
First Name:JIN WOO
Middle Name:
Last Name:JONG
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 1:10708 MARFA WAY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071
Mailing Address - Country:US
Mailing Address - Phone:940-279-5012
Mailing Address - Fax:
Practice Address - Street 1:8668 JOHN HICKMAN PKWY
Practice Address - Street 2:STE 302
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8181
Practice Address - Country:US
Practice Address - Phone:940-279-5012
Practice Address - Fax:469-664-0067
Is Sole Proprietor?:No
Enumeration Date:2015-06-12
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13530111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor