Individual provider · Type 1 NPI
Jeong Jun Su, DC
Chiropractor · Dallas, TX
NPI number
1790229557
Active
Practice location
3434 W Illinois Ave Ste 118
Dallas, TX 75211-8797
Mailing address
3155 Chapel Oaks Dr Unit 202
Coppell, TX 75019-4736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 13311 (TX) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1790229557
Jeong Jun Su, DC's National Provider Identifier is 1790229557, issued on Dec 14, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Dallas, TX. The record was last updated on Dec 14, 2016.