Provider Demographics
NPI:1487056834
Name:NATURES CHOICE MEDICAL CLINIC PLLC
Entity type:Organization
Organization Name:NATURES CHOICE MEDICAL CLINIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:YOU SUK
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:214-727-6355
Mailing Address - Street 1:3420 K AVE
Mailing Address - Street 2:305
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-2333
Mailing Address - Country:US
Mailing Address - Phone:844-968-2464
Mailing Address - Fax:469-304-9399
Practice Address - Street 1:3420 K AVE
Practice Address - Street 2:305
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-2333
Practice Address - Country:US
Practice Address - Phone:844-968-2464
Practice Address - Fax:469-304-9399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN7068207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1760633135OtherNPI TYPE1