MEDICARE: MING YUAN CHAO

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	363LA2200X	Adult Health Nurse Practitioner	697175	TX

General Provider Information

NPI Number	:	1285821355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MING YUAN CHAO

Provider Business Mailing Address
First Line	:	4249 PURDUE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1041
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8539 GULF FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77017-5055
Country	:	US
Telephone Number	:	713-218-2697
Fax Number	:

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

Provider Enumeration Date	:	10/02/2007
Last Update Date	:	03/19/2024

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Directions to “ MING YUAN CHAO ” Practice Location

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