Healthcare Provider Details

I. General information

NPI: 1306041231
Provider Name (Legal Business Name): SONYA BETH CHAO D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 N HEATHERWILDE BLVD STE 200
PFLUGERVILLE TX
78660-4192
US

IV. Provider business mailing address

905 HIDDEN GLEN DR
ROUND ROCK TX
78681-2424
US

V. Phone/Fax

Practice location:
  • Phone: 877-637-8387
  • Fax:
Mailing address:
  • Phone: 512-366-2125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberM5666
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: