IndividualActive
Chongsuh Bae, DNP
NPI 1487300398 · Family Nurse Practitioner · Benbrook, TX
Provider details
- NPI number
- 1487300398
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1044451 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1160 Sopwith Ct
Benbrook, TX 76126-4284
Phone: (817) 353-0132
Approximate (ZIP-level) locationGet directions
Mailing address
1160 Sopwith Ct
Benbrook, TX 76126-4284
Registry dates
- Enumerated
- 2022-03-01
- Last updated
- 2022-03-01
- Certified
- 2022-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.