Provider Demographics
NPI:1841851540
Name:CHUNG, HANA (MSN,RN,AGNP-C)
Entity type:Individual
Prefix:
First Name:HANA
Middle Name:
Last Name:CHUNG
Suffix:
Gender:F
Credentials:MSN,RN,AGNP-C
Other - Prefix:
Other - First Name:HA NA
Other - Middle Name:
Other - Last Name:CHUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 11230
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77391-1230
Mailing Address - Country:US
Mailing Address - Phone:281-587-8777
Mailing Address - Fax:281-587-2577
Practice Address - Street 1:1125 CYPRESS STATION DR STE G-1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3055
Practice Address - Country:US
Practice Address - Phone:281-587-8777
Practice Address - Fax:281-587-2577
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136903207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease