Healthcare Provider Details

I. General information

NPI: 1770565707
Provider Name (Legal Business Name): ROBERT T CHING DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7115 FAIRLAWN DR
SAN ANTONIO TX
78223-4022
US

IV. Provider business mailing address

1150 N LOOP 1604 W #108-628
SAN ANTONIO TX
78248-4503
US

V. Phone/Fax

Practice location:
  • Phone: 210-337-2600
  • Fax: 210-337-2644
Mailing address:
  • Phone: 210-337-2600
  • Fax: 210-337-2644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberJ9642
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: