Healthcare Provider Details

I. General information

NPI: 1760817985
Provider Name (Legal Business Name): KATHY LAO-CHHAT PHARM. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2013
Last Update Date: 09/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3435 LAKEVIEW PKWY
ROWLETT TX
75088-3368
US

IV. Provider business mailing address

3205 POND VIEW DR
RICHARDSON TX
75082-2453
US

V. Phone/Fax

Practice location:
  • Phone: 972-463-6500
  • Fax:
Mailing address:
  • Phone: 214-773-4376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number53906
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: