Provider Demographics
NPI:1861715575
Name:YUN, DANIEL (LAC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:YUN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 MEDICAL DR
Mailing Address - Street 2:BLUE POD, ROOM 2
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-5021
Mailing Address - Country:US
Mailing Address - Phone:713-280-1379
Mailing Address - Fax:
Practice Address - Street 1:850 W JOHN CARPENTER FWY
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75039-2303
Practice Address - Country:US
Practice Address - Phone:713-280-1379
Practice Address - Fax:972-714-0887
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAC01178171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist