| Doctor Name: | MRS. COURTNEY CHUNG |
| NPI Number: | 1568867216 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 00000000000000000000 |
| Business Practice Address: | Rr 2 Box 4400 Gatesville, TX - 765970001 |
| Business Phone Number: | 2548656663 |
| Business Fax Number: | |
| Mailing Address: | 201 N 7th St, GATESVILLE |
| State: | TX |
| Postal Code: | 765281306 |
| Phone Number: | 2108638023 |
| Fax Number: | |
| NPI Enumeration Date: | 10/23/2014 |
| NPI Last Update Date: | 10/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 00000000000000000000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |