Provider Demographics
NPI:1538390596
Name:CHUNG, MANH DUC (DC)
Entity type:Individual
Prefix:DR
First Name:MANH
Middle Name:DUC
Last Name:CHUNG
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 1:16506 FM 529 RD
Mailing Address - Street 2:SUITE 119
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-1462
Mailing Address - Country:US
Mailing Address - Phone:281-855-8977
Mailing Address - Fax:281-855-9194
Practice Address - Street 1:16506 FM 529 RD
Practice Address - Street 2:SUITE 119
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1462
Practice Address - Country:US
Practice Address - Phone:281-855-8977
Practice Address - Fax:281-855-9194
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6531111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor