Individual provider Active NPI

Hannah Myung, PA-C

  • Physician Assistant
  • Dallas, TX
National Provider Identifier
1104338979
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11589 Issued in TX
Practice address
5323 Harry Hines Blvd Ste E4.300
Dallas, TX 75390-8579
Phone
(214) 648-3916
Fax
(214) 648-8423
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11589 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd Ste E4.300
Dallas, TX 75390-8579

Mailing address

6124 West Parker Road
Building 3 Suite 530
Plano, TX 75093-8140
Phone (214) 778-1075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171211002277 TX Practitioner - Physician Assistant 1658639109 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11589TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 2, 2018 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Apr 2, 2018 Accepting new patients
Questcare Medical Services, PLLC Physician Assistant CurrentSince Dec 6, 2019 Accepting new patients
Healthtexas Provider Network CurrentSince Apr 1, 2024 Accepting new patients
Healthtexas Provider Network CurrentSince Apr 1, 2024 Accepting new patients
Healthtexas Provider Network Past Accepting new patients
Chapel Emergency Physicians PLLC Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

5201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 590-1396

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

3600 Gaston Ave
Ste 360
Dallas, TX 75246
Phone (214) 820-7246

7777 Forest Ln
Ste C737
Dallas, TX 75230
Phone (214) 331-6444

3500 Gaston Ave
Dallas, TX 75246

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

5252 W University Dr
McKinney, TX 75071
Phone (469) 764-1000

5236 W University Dr
Ste 1500
McKinney, TX 75071
Phone (469) 764-2273

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: hmyung1286792@direct.sw.org
  • Direct secure messaging: hannah.myung.choe.1@29118.direct.athenahealth.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1104338979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 WEST PARKER ROAD",
            "address_2": "BUILDING 3 SUITE 530",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938140",
            "telephone_number": "214-778-1075",
            "fax_number": "214-778-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD STE E4.300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753908579",
            "telephone_number": "214-648-3916",
            "fax_number": "214-648-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYUNG",
        "first_name": "HANNAH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.