Provider Demographics
NPI:1053593475
Name:CHU HEALTHCARE
Entity type:Organization
Organization Name:CHU HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HOC
Authorized Official - Middle Name:BA
Authorized Official - Last Name:CHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:281-481-6663
Mailing Address - Street 1:12600 SCARSDALE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6270
Mailing Address - Country:US
Mailing Address - Phone:281-481-6663
Mailing Address - Fax:281-481-6369
Practice Address - Street 1:12600 SCARSDALE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77089-6270
Practice Address - Country:US
Practice Address - Phone:281-481-6663
Practice Address - Fax:281-481-6369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4549261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00108YMedicare PIN