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NPI Code Detail

MEDICARE: JOE N CHIU MD

MEDICARE: JOE N CHIU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianF5431TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598751927
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOE N CHIU MD
Provider Business Mailing Address
First Line : 108 E SEMINARY DR
Second Line : SEMINARY SOUTH MED CLINIC
City : FORT WORTH
State : TX
Zip : 76115-2632
Country : US
Telephone Number : 817-926-1727
Fax Number : 817-926-1748
Provider Business Practice Location Address
First Line : 108 E SEMINARY DR
Second Line : SEMINARY SOUTH MED CLINIC
City : FORT WORTH
State : TX
Zip : 76115-2632
Country : US
Telephone Number : 817-926-1727
Fax Number : 817-926-1748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 12/23/2009

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