MEDICARE: DR. RAYMOND M CHUI D.D.S.

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	122300000X	Dentist	15601	TX

General Provider Information

NPI Number	:	1467620435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAYMOND M CHUI D.D.S.

Provider Business Mailing Address
First Line	:	2225 WILLIAMS TRACE BLVD. SUITE 101
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478
Country	:	US
Telephone Number	:	281-980-5090
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 WILLIAMS TRACE BLVD STE 101
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-4440
Country	:	US
Telephone Number	:	281-980-5090
Fax Number	:

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

Provider Enumeration Date	:	02/13/2008
Last Update Date	:	02/13/2008

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