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NPI Code Detail

MEDICARE: DR. EDWARD RICKIE LIM CHU MD

MEDICARE: DR. EDWARD RICKIE LIM CHU MD
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
1207W00000XOphthalmology Physician65349MN
2390200000XStudent in an Organized Health Care Education/Training ProgramBP10050031TX
3207W00000XOphthalmology PhysicianS4118TX

General Provider Information

NPI Number : 1649699307
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWARD RICKIE LIM CHU MD
Provider Business Mailing Address
First Line : 7703 FLOYD CURL DR # 6230
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3901
Country : US
Telephone Number : 210-567-8406
Fax Number :
Provider Business Practice Location Address
First Line : 7703 FLOYD CURL DR # 6230
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78229-3901
Country : US
Telephone Number : 210-567-8406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2014
Last Update Date : 07/14/2020

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