Provider Demographics
NPI:1922840834
Name:LIN, TE JUNG (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TE JUNG
Middle Name:
Last Name:LIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 CITRUS CT
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-7012
Mailing Address - Country:US
Mailing Address - Phone:713-502-1639
Mailing Address - Fax:
Practice Address - Street 1:1010 S AIRPORT DR STE D
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-6650
Practice Address - Country:US
Practice Address - Phone:956-854-4640
Practice Address - Fax:956-854-4652
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-11
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist