Healthcare Provider Details

I. General information

NPI: 1780795047
Provider Name (Legal Business Name): JOSEPH CHANDY R.R.T, C.P.F.T
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2002 HOLCOMBE BLVD
HOUSTON TX
77030-4211
US

IV. Provider business mailing address

3102 PECAN WOOD DR
MISSOURI CITY TX
77459-2969
US

V. Phone/Fax

Practice location:
  • Phone: 713-794-7292
  • Fax: 713-794-7316
Mailing address:
  • Phone: 281-261-7929
  • Fax: 713-794-7316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279P1004X
TaxonomyPulmonary Diagnostics Registered Respiratory Therapist
License Number51764
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: