Provider Demographics
NPI:1164309241
Name:KWON, SUNU JOSEPH (DC)
Entity type:Individual
Prefix:
First Name:SUNU
Middle Name:JOSEPH
Last Name:KWON
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 1:4913 PLANTATION LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-5106
Mailing Address - Country:US
Mailing Address - Phone:469-432-6878
Mailing Address - Fax:
Practice Address - Street 1:3251 TRACEWOOD WAY STE 121
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-1747
Practice Address - Country:US
Practice Address - Phone:817-886-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16377111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor