Individual provider · Type 1 NPI

Charlie Chung-Yih Su, M.S.

Student in an Organized Health Care Education/Training Program · Dallas, TX

NPI number 1316735947 Active

Practice location

4500 S Lancaster Rd
Dallas, TX 75216-7167

Call (214) 857-4279 Map

Mailing address

1551 Oak Lawn Ave Apt 474
Dallas, TX 75207-3699

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316735947

Charlie Chung-Yih Su, M.S.'s National Provider Identifier is 1316735947, issued on Apr 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dallas, TX. The record was last updated on Apr 25, 2025.