Provider Demographics
NPI:1649334129
Name:CHUN, KEUM HWA (LAC)
Entity type:Individual
Prefix:DR
First Name:KEUM HWA
Middle Name:
Last Name:CHUN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12805 KNOTTY TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78727-3045
Mailing Address - Country:US
Mailing Address - Phone:512-341-9524
Mailing Address - Fax:
Practice Address - Street 1:1821 W ANDERSON LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1303
Practice Address - Country:US
Practice Address - Phone:512-459-6499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC00585171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist