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NPI Code Detail

MEDICARE: DR. BRYAN CHU DDS

MEDICARE:  DR. BRYAN  CHU  DDS
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
1122300000XDentist22749TX

General Provider Information

NPI Number : 1497830608
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYAN CHU DDS
Provider Business Mailing Address
First Line : 5203-H FM 1960 WEST
Second Line :
City : HOUSTON
State : TX
Zip : 77069
Country : US
Telephone Number : 281-880-8771
Fax Number :
Provider Business Practice Location Address
First Line : 5203-H FM 1960 WEST
Second Line :
City : HOUSTON
State : TX
Zip : 77069
Country : US
Telephone Number : 281-880-8771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BRYAN CHU DDS” Practice Location

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