CHONGSUH BAE

BENBROOK, TX
NPI1487300398
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: TX  1044451)
Enumeration Date2022-03-01
Last Update Date2022-03-01
Business Address
CHONGSUH BAE DNP
1160 SOPWITH CT
BENBROOK, TX 76126-4284
Phone number: 817-353-0132
Mailing Address
CHONGSUH BAE DNP
1160 SOPWITH CT
BENBROOK, TX 76126-4284
Phone number: 817-353-0132
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