MEDICARE: DR. H CHUNGTAI HU 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
1	207Q00000X	Family Medicine Physician	H4964	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080188702	OTHER	TX	MEDICARE RAILROAD PIN

General Provider Information

NPI Number	:	1841280351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. H CHUNGTAI HU MD

Provider Business Mailing Address
First Line	:	2255 E MOSSY OAKS RD STE 680
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-1812
Country	:	US
Telephone Number	:	281-537-0300
Fax Number	:	281-537-0315

Provider Business Practice Location Address
First Line	:	2255 E MOSSY OAKS RD STE 680
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389
Country	:	US
Telephone Number	:	281-537-0300
Fax Number	:	281-537-0315

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	06/25/2018

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