Provider Demographics
NPI:1174758247
Name:KUNG, DORIS HICHI (DO)
Entity type:Individual
Prefix:DR
First Name:DORIS
Middle Name:HICHI
Last Name:KUNG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1 BAYLOR PLZ
Mailing Address - Street 2:NB 302
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-3411
Mailing Address - Country:US
Mailing Address - Phone:713-798-7990
Mailing Address - Fax:713-798-8530
Practice Address - Street 1:1 BAYLOR PLZ
Practice Address - Street 2:NB302
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-3411
Practice Address - Country:US
Practice Address - Phone:713-798-6151
Practice Address - Fax:713-798-8530
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-19
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN31242084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00848117OtherRAIL ROAD MEDICARE PIN
TXTXB104178Medicare PIN
TXP00848117OtherRAIL ROAD MEDICARE PIN