Healthcare Provider Details
I. General information
NPI: 1790689917
Provider Name (Legal Business Name): CHARLES HSU, MDPA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4610 SWEETWATER BLVD STE 220
SUGAR LAND TX
77479-3151
US
IV. Provider business mailing address
4610 SWEETWATER BLVD STE 220
SUGAR LAND TX
77479-3151
US
V. Phone/Fax
- Phone: 281-242-1127
- Fax: 281-242-7478
- Phone: 281-242-1127
- Fax: 281-242-7478
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name: DR.
CHARLES
HSU
Title or Position: OWNER
Credential: MD
Phone: 832-731-6990