MEDICARE: DR. STEPHEN KEN-WEI CHAO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	P0561	TX

General Provider Information

NPI Number	:	1225299753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN KEN-WEI CHAO M.D.

Provider Business Mailing Address
First Line	:	1712 E 1ST ST STE M20
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-5238
Country	:	US
Telephone Number	:	281-448-4139
Fax Number	:	281-446-4860

Provider Business Practice Location Address
First Line	:	1712 1ST ST E # M20
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-5238
Country	:	US
Telephone Number	:	281-446-4139
Fax Number	:	281-446-4860

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2008
Last Update Date	:	01/12/2024

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Directions to “ DR. STEPHEN KEN-WEI CHAO M.D.” Practice Location

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