Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | L6324 | TX |
NPI | 1033108410 |
---|---|
Provider Name | Yvonne I-Fang Chu |
First Address | Houston, TX 77210-4771 |
Second Address | Houston, TX 77030-2717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 03/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0081087 | BLUE LINK (01) | TX |
160182501 | (05) | TX |
160182504 | (05) | TX |
8J3912 | BC/BS (01) | TX |
H91522 | (02) |