Provider Demographics
NPI:1932398351
Name:IHS CHIROPRACTIC & ACUPUNCTURE INC
Entity Type:Organization
Organization Name:IHS CHIROPRACTIC & ACUPUNCTURE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:MOOYEOL
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-769-2225
Mailing Address - Street 1:18800 PRESTON RD
Mailing Address - Street 2:SUITE 313
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-2449
Mailing Address - Country:US
Mailing Address - Phone:972-769-2225
Mailing Address - Fax:972-769-0384
Practice Address - Street 1:18800 PRESTON RD
Practice Address - Street 2:SUITE 313
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75252-2449
Practice Address - Country:US
Practice Address - Phone:972-769-2225
Practice Address - Fax:972-769-0384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX8142111N00000X
TXAC00883171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty