Provider Demographics
NPI:1861621708
Name:CHUN, AMBER INSOOK
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:INSOOK
Last Name:CHUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10912 N CANOA HILLS TRL
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-4415
Mailing Address - Country:US
Mailing Address - Phone:512-745-7082
Mailing Address - Fax:
Practice Address - Street 1:1010 WEST AVENUE B
Practice Address - Street 2:TEXAS A&M HEALTH SCIENCE CENTER, MSC 131
Practice Address - City:KINGSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78363
Practice Address - Country:US
Practice Address - Phone:361-593-4271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-14
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program