Healthcare Provider Details

I. General information

NPI: 1336994755
Provider Name (Legal Business Name): JOANNA Y. CHYU MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2024
Last Update Date: 04/19/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4900 MUELLER BLVD STE 3J018
AUSTIN TX
78723-3051
US

IV. Provider business mailing address

DELL MEDICAL SCHOOL AT THE UNIVERSITY OF TEXAS GME OFFICE 1501 RED RIVER, 2ND FLOOR
AUSTIN TX
78712
US

V. Phone/Fax

Practice location:
  • Phone: 512-324-0067
  • Fax:
Mailing address:
  • Phone: 512-495-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberBP10088330
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: