Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G9081 | TX |
NPI | 1104914324 |
---|---|
Provider Name | C. James Chuong |
First Address | Houston, TX 77074-4337 |
Second Address | Houston, TX 77074-4337 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2006 |
Last Update Date | 19/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D48121 | (02) | TX |
G9081 | STATE LICENSE (01) | TX |