Individual provider · NPI-1

Caroline Chung, MD

Surgery · Tyler, TX

NPI number1548830359
StatusActive
Last updated in NPPESJul 17, 2026

Details

NPI
1548830359
Entity type
Individual (NPI-1)
Name
Caroline Chung
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Jun 25, 2021
Certification date
Jul 17, 2026
Last updated
Jul 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryW7294TXYes
208600000X Surgery2021024015MO

Practice location

910 E Houston St Ste 550
Tyler, TX 75702-8366

Phone 903-606-7393 · Fax 903-597-7538

Mailing address

1 Hospital Dr
Columbia, MO 65212-1000

Phone 573-884-2000

Other practice locations

1 Hospital Dr
Columbia, MO 65212-1000

Phone 573-884-2000

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